Individual provider Active NPI

Melissa Slivka, LCSW

  • Clinical Social Worker
  • Hillsdale, NJ
National Provider Identifier
1891033106
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05424600 Issued in NJ
Practice address
123 Legion PL
Hillsdale, NJ 07642-1537
Phone
(201) 468-9915
NPI assigned
Jan 21, 2013
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 44SC05424600 NJ Primary

Addresses

Primary practice location

123 Legion PL
Hillsdale, NJ 07642-1537

Mailing address

123 Legion PL
Hillsdale, NJ 07642-1537
Phone (201) 468-9915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05424600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moonbow Counseling LLC Clinical CurrentSince Jul 23, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1891033106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LEGION PL",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421537",
            "telephone_number": "201-468-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LEGION PL",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421537",
            "telephone_number": "201-468-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIVKA",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05424600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, NJ

Sources for this page

Verify at the official NPI Registry.