Individual provider Active NPI

Anna Elberger, LCSW

  • Clinical Social Worker
  • Englewood, NJ
National Provider Identifier
1902029770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01449000 Issued in NJ
Practice address
163 Engle St Ste 1a
Englewood, NJ 07631-2530
Phone
(707) 694-1921
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC01449000 NJ Primary

Addresses

Primary practice location

163 Engle St Ste 1a
Englewood, NJ 07631-2530

Mailing address

163 Engle St Ste 1a
Englewood, NJ 07631-2530
Phone (707) 694-1921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 21, 2024 through Jan 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC01449000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902029770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST STE 1A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312530",
            "telephone_number": "707-694-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST STE 1A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312530",
            "telephone_number": "707-694-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBERGER",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01449000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.