Individual provider Active NPI

Tami-Beth Danzig

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1902311913
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05640900 Issued in NJ
Practice address
121 Cedar LN Ste 2B
Teaneck, NJ 07666-4457
Phone
(201) 357-5796
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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 44SC05640900 NJ Primary

Addresses

Primary practice location

121 Cedar LN Ste 2B
Teaneck, NJ 07666-4457

Mailing address

130 Golf CT
Teaneck, NJ 07666-5634
Phone (610) 937-4422

Other practice location 1

130 Golf Ct
Teaneck, NJ 07666-5634
Phone (610) 937-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118002684 NJ Practitioner - Clinical Social Worker 3375802309 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 Cedar LN
Suite 2B
Teaneck, NJ 07666-4457
Phone (201) 357-5796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05640900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Heart Therapy Clinical PastSince Jan 5, 2020 Accepting new patients
Tami-Beth Danzig Clinical PastSince Feb 4, 2016 Accepting new patients

Organizations & group practices 2

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1902311913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GOLF CT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665634",
            "telephone_number": "610-937-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR LN STE 2B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664457",
            "telephone_number": "201-357-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Golf Ct",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076665634",
            "country_code": "US",
            "telephone_number": "610-937-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANZIG",
        "first_name": "TAMI-BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05640900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.