Individual provider Active NPI

Loren M Gelberg-Goff, LCSW

  • Clinical Social Worker
  • River Edge, NJ
National Provider Identifier
1861697286
Registry record updated Nov 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC 05895 Issued in NJ
Practice address
200 Oak Ave
River Edge, NJ 07661-1028
Phone
(201) 489-6720
Fax
(201) 489-2416
NPI assigned
Jun 16, 2007
Sex
Female
Sole proprietor
Yes

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Oak Ave
River Edge, NJ 07661-1028
Phone (201) 489-6720

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
I20050504000146 NJ Practitioner - Clinical Social Worker 5193765774 Practice locations: River Edge, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC 05895NJMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC 05895 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Oak Ave
River Edge, NJ 07661-1028

Mailing address

200 Oak Ave
River Edge, NJ 07661-1028
Phone (201) 489-6720

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2012.

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353715200000",
    "number": "1861697286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK AVE",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611028",
            "telephone_number": "201-489-6720",
            "fax_number": "201-489-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK AVE",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611028",
            "telephone_number": "201-489-6720",
            "fax_number": "201-489-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELBERG-GOFF",
        "first_name": "LOREN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-16",
        "last_updated": "2012-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC 05895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

Verify at the official NPI Registry.