Individual provider Active NPI

Denise R Cooney-Zajkowski, LCSW

  • Clinical Social Worker
  • Midland Park, NJ
National Provider Identifier
1821296443
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05307900 Issued in NJ
Practice address
289 Godwin Ave
Midland Park, NJ 07432-1807
Phone
(201) 264-3794
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05307900 NJ Primary

Addresses

Primary practice location

289 Godwin Ave
Midland Park, NJ 07432-1807

Mailing address

69 Pawnee Ave
Oakland, NJ 07436-3722
Phone (201) 264-3794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230815000086 TX Practitioner - Clinical Social Worker 2466814074 Reassigns benefits to 1 organization
I20231102003486 NJ Practitioner - Clinical Social Worker 2466814074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Brightside Medical of New Jersey, P.C. CurrentSince Oct 1, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

3495 US Highway 1
Ste 34
Princeton, NJ 08540
Phone (609) 649-8738

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical of New Jersey PC 61 clinicians
Brightside Medical PC 274 clinicians

Practice addresses (Care Compare)

Oakland, NJ 07436
Phone (415) 360-3348

Austin, TX 78731
Phone (415) 360-3348

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1821296443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PAWNEE AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363722",
            "telephone_number": "201-264-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321807",
            "telephone_number": "201-264-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY-ZAJKOWSKI",
        "first_name": "DENISE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05307900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

Verify at the official NPI Registry.