Active NPI
Shireen B Meistrich, LSW
- Clinical Social Worker
- Ridgewood, NJ
National Provider Identifier
1891944807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL05331200
- Practice address
- 120 Chestnut St
Ridgewood, NJ 07450-2504 - Phone
- (201) 444-3550
- Fax
- (201) 652-1613
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 44SL05331200 | NJ | Primary |
Addresses
Primary practice location
120 Chestnut St
Ridgewood, NJ 07450-2504
Mailing address
120 Chestnut St
Ridgewood, NJ 07450-2504
Phone (201) 444-3550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SL05331200 | Other | NJ | NJ STATE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05331200 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1891944807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CHESTNUT ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502504",
"telephone_number": "201-444-3550",
"fax_number": "201-652-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CHESTNUT ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502504",
"telephone_number": "201-444-3550",
"fax_number": "201-652-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEISTRICH",
"first_name": "SHIREEN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL05331200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE LICENSE",
"identifier": "44SL05331200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.