NPIMap

Organization Active NPI

Hudson River Care and Counseling, LLC

  • Clinical Social Worker
  • Englewood, NJ
National Provider Identifier
1821392473
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HUDSON RIVER CARE AND COUNSELING, LLC
Practice address
61 Grand Ave
Third Floor
Englewood, NJ 07631-3572
Phone
(201) 962-6443
Fax
(201) 541-8100
NPI assigned
Dec 22, 2010
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Ms. Pamela J. Pater-Ennis, MSW, LCSWNPI 1174656409
Title
Executive Director
Phone
(201) 541-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

61 Grand Ave
Third Floor
Englewood, NJ 07631-3572

Mailing address

114 Brookview Ter
Bergenfield, NJ 07621-3100
Phone (201) 962-6443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110106000651 NJ Part B Supplier - Clinic/Group Practice 8123217155 Receives reassigned benefits from 1 practitioner
Practice locations: Hoboken, NJ; Englewood, NJ

National Provider Directory

National Provider Directory
Tax ID family
Hudson River Care and Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75 Grand Ave
Ste 1
Englewood, NJ 07631
Phone (201) 541-8600

310 Cedar Ln
Ste 3B
Teaneck, NJ 07666
Phone (201) 541-8600

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1821392473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BROOKVIEW TER",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213100",
            "telephone_number": "201-962-6443",
            "fax_number": "201-541-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GRAND AVE",
            "address_2": "THIRD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313572",
            "telephone_number": "201-962-6443",
            "fax_number": "201-541-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON RIVER CARE AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "PATER-ENNIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-541-8100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.