Isabel R. De Master, L.C.S.W.
Individual provider Active NPI Mental Health Counselor · Waldwick, NJ
NPI 1881614725 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881614725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 44SC00128800 (NJ)
- Practice address
- 71 Franklin Tpke
Floor 2 Suite 4
Waldwick, NJ 07463-1851 - Phone
- (201) 447-1220
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
71 Franklin Tpke
FL 2 Suite 4
Waldwick, NJ 07465-1800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040310000690 | NJ | Practitioner - Clinical Social Worker | 2668360561 | Practice locations: Waldwick, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00128800 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SC00128800 | NJ | Yes |
Addresses
Primary practice location
71 Franklin Tpke
Floor 2 Suite 4
Waldwick, NJ 07463-1851
Mailing address
83 Park Ave
Allendale, NJ 07401-1715
Phone (201) 327-2717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99380 | Other | UBH | |
| 141381 | Other | VALUE OPTIONS | |
| 5643121 | Other | AETNA | |
| P1536350 | Other | OXFORD |
Other providers in Waldwick, NJ
- Elisabeth Curshen
- CV Path to Wellness
- Dolores D'Andrea
- Michelle Marie Dailey
- Day Family Chiropractic LLC
- Zoltan F Deak
- Stephen Michael Decker
- Lauren Defressine
- Anthony M Delgreco
- Natalie Della Croce
All providers in Waldwick, NJ · Mental Health Counselor 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.