Active NPI
Jennifer Grubman, LCSW
- Clinical Social Worker
- Tenafly, NJ
National Provider Identifier
1821644618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088090-1
- Practice address
- 32 Washington St Ste 2C2
Tenafly, NJ 07670-3216 - Phone
- (201) 568-7777
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088090-1 | NY | Primary |
Addresses
Primary practice location
32 Washington St Ste 2C2
Tenafly, NJ 07670-3216
Mailing address
3-39 28TH St
Fair Lawn, NJ 07410-3818
Phone (516) 993-0903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088090-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1821644618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3-39 28TH ST",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103818",
"telephone_number": "516-993-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 WASHINGTON ST STE 2C2",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076703216",
"telephone_number": "201-568-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBMAN",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088090-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.