Individual provider Active NPI

Linda Poskanzer, LCSW

  • Clinical Social Worker
  • Hackensack, NJ
National Provider Identifier
1942363312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00605800 Issued in NJ
Practice address
185 Prospect Ave
Suite 9F
Hackensack, NJ 07601-2210
Phone
(201) 342-1746
NPI assigned
Dec 18, 2006
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 44SC00605800 NJ Primary

Addresses

Primary practice location

185 Prospect Ave
Suite 9F
Hackensack, NJ 07601-2210

Mailing address

185 Prospect Ave
Suite 9F
Hackensack, NJ 07601-2210
Phone (201) 342-1746

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
I20050426000786 NJ Practitioner - Clinical Social Worker 1759320187 Reassigns benefits to 1 organization
Practice locations: Hackensack, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center of Revitalizing Psychiatry, P.C.Group PAC ID 0648239988, 39 clinicians

Practice addresses (Care Compare)

340 W Passaic St
Suite 1
Rochelle Park, NJ 07662-3019
Phone (201) 488-5161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Revitalizing Psychiatry, P.C. CurrentSince Apr 18, 2015 Accepting new patients

Locations

795 Main St
Hackensack, NJ 07601
Phone (201) 488-5161

340 W Passaic St
Ste 1
Rochelle Park, NJ 07662
Phone (201) 488-5161

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942363312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PROSPECT AVE",
            "address_2": "SUITE 9F",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012210",
            "telephone_number": "201-342-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PROSPECT AVE",
            "address_2": "SUITE 9F",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012210",
            "telephone_number": "201-342-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSKANZER",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00605800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.