Individual provider Active NPI

Lynne Margaret Eisenbrand, MSW, LCSW

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1871191759
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05550900 Issued in NJ
Practice address
48 Walnut Cres
Montclair, NJ 07042-4918
Phone
(917) 371-1494
Fax
(646) 655-0722
NPI assigned
Oct 13, 2020
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 44SC05550900 NJ Primary

Addresses

Primary practice location

48 Walnut Cres
Montclair, NJ 07042-4918

Mailing address

72 Watchung Ave
Montclair, NJ 07043-1348
Phone (917) 371-1494

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
I20250227000704 NJ Practitioner - Clinical Social Worker 3072033521 Practice locations: Montclair, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48 Walnut Cres
Montclair, NJ 07042-4918
Phone (917) 371-1494

72 Watchung Ave
Apt 1
Montclair, NJ 07043-1349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05550900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1871191759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WATCHUNG AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431348",
            "telephone_number": "917-371-1494",
            "fax_number": "646-655-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 WALNUT CRES",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424918",
            "telephone_number": "917-371-1494",
            "fax_number": "646-655-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBRAND",
        "first_name": "LYNNE",
        "middle_name": "MARGARET",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05550900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.