Active NPI
Inna Valentina Litrovnik, LCSW
- Clinical Social Worker
- Emerson, NJ
National Provider Identifier
1891895066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R048258-1
- Practice address
- 182 Randolph Ave
Emerson, NJ 07630-2151 - Phone
- (718) 676-4205
- Fax
- (718) 676-4216
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R048258-1 | NY | Primary |
Addresses
Primary practice location
182 Randolph Ave
Emerson, NJ 07630-2151
Mailing address
182 Randolph Ave
Emerson, NJ 07630-2151
Phone (718) 676-4205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01650095 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R048258-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891895066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 RANDOLPH AVE",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076302151",
"telephone_number": "718-676-4205",
"fax_number": "718-676-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 RANDOLPH AVE",
"city": "EMERSON",
"state": "NJ",
"postal_code": "076302151",
"telephone_number": "718-676-4205",
"fax_number": "718-676-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITROVNIK",
"first_name": "INNA",
"middle_name": "VALENTINA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R048258-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01650095",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Emerson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.