Individual provider Active NPI

Catherine Illenye, LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1811365224
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05816800 Issued in NJ
Practice address
1172 E Ridgewood Ave Ste 7
Ridgewood, NJ 07450-3929
Phone
(732) 535-1426
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 44SC05816800 NJ Primary

Addresses

Primary practice location

1172 E Ridgewood Ave Ste 7
Ridgewood, NJ 07450-3929

Mailing address

240 Main St Apt 402
Hackensack, NJ 07601-5745
Phone (732) 535-1426

Other practice location 1

240 Main St Apt 402
Hackensack, NJ 07601-5745
Phone (732) 535-1426

Other identifiers 1

IdentifierTypeStateIssuer
0023701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181109001584 NJ Practitioner - Clinical Social Worker 7810241817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1172 E Ridgewood Ave
Suite 7
Ridgewood, NJ 07450-3929
Phone (732) 535-1426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine Illenye LCSW Clinical CurrentSince Jul 1, 2023 Accepting new patients

Locations

1172 E Ridgewood Ave
Ste 7
Ridgewood, NJ 07450
Phone (201) 612-6050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1811365224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAIN ST APT 402",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015745",
            "telephone_number": "732-535-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E RIDGEWOOD AVE STE 7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503929",
            "telephone_number": "732-535-1426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Main St Apt 402",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076015745",
            "country_code": "US",
            "telephone_number": "732-535-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILLENYE",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05816800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.