Active NPI
Libera Linick, LSW
- Social Worker
- Closter, NJ
National Provider Identifier
1922544816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05196600
- Practice address
- 294 Harrington Ave
Closter, NJ 07624-1912 - Phone
- (201) 564-7331
- NPI assigned
- Jan 16, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05196600 | NJ | Primary |
Addresses
Primary practice location
294 Harrington Ave
Closter, NJ 07624-1912
Mailing address
37 Hemlock St
Waldwick, NJ 07463-1406
Phone (917) 686-0815
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221212000397 | NJ | Practitioner - Clinical Social Worker | 4385013515 | Practice locations: Midland Park, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Godwin Ave
Suite 200
Midland Park, NJ 07432-1460
Phone (917) 686-0815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05196600 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1922544816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 HEMLOCK ST",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631406",
"telephone_number": "917-686-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 HARRINGTON AVE",
"city": "CLOSTER",
"state": "NJ",
"postal_code": "076241912",
"telephone_number": "201-564-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINICK",
"first_name": "LIBERA",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-16",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05196600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Closter, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.