Organization Active NPI

Elizabeth Voegtlin LCSW LLC

  • Clinical Social Worker
  • Midland Park, NJ
National Provider Identifier
1922630672
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELIZABETH VOEGTLIN LCSW LLC
Practice address
24 Godwin Ave
Midland Park, NJ 07432-1927
Phone
(973) 476-9114
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Voegtlin
Title
LCSW
Phone
(973) 476-9114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

24 Godwin Ave
Midland Park, NJ 07432-1927

Mailing address

24 Godwin Ave
Midland Park, NJ 07432-1927
Phone (973) 476-9114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200309001282 NJ Part B Supplier - Clinic/Group Practice 2163850033 Receives reassigned benefits from 1 practitioner
Practice locations: Midland Park, NJ

National Provider Directory

National Provider Directory

Locations

24 Godwin Ave
Midland Park, NJ 07432
Phone (201) 444-2999

24 Godwin Ave
Ste B1
Midland Park, NJ 07432
Phone (973) 476-9114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1922630672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321927",
            "telephone_number": "973-476-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321927",
            "telephone_number": "973-476-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH VOEGTLIN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "VOEGTLIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "973-476-9114"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.