Jon Bercovici, LCSW
Individual provider Active NPI Clinical Social Worker · Hackensack, NJ
NPI 1831491497 · NPPES record last updated Dec 2, 2010
Key facts
- NPI
- 1831491497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC00020000 (NJ)
- Practice address
- 62 Summit Ave
Hackensack, NJ 07601-8562 - Phone
- (201) 546-7425
- NPI assigned
- Dec 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00020000 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00020000 | NJ | Yes |
Addresses
Primary practice location
62 Summit Ave
Hackensack, NJ 07601-8562
Mailing address
185 Prospect Ave
Apt 14 I
Hackensack, NJ 07601-2210
Phone (201) 446-6880
Other providers in Hackensack, NJ
- Jeremy Ruben Benhamroun-Zbili
- Michael Benke
- Miriam M Benoff
- Brian Eric Benson
- Douglas N Benson
- Linda Voogd Bercovici
- Bergen Audiology, LLC
- Bergen Aware Assessment & Counseling
- Bergen County Department of Health
- Bergen Dental Professional
All providers in Hackensack, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.