Organization Active NPI

Shirley Leibowitz, LCSW, LLC

  • Clinical Social Worker
  • Fair Lawn, NJ
National Provider Identifier
1952818866
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05480500 Issued in NJ
Legal business name
SHIRLEY LEIBOWITZ, LCSW, LLC
Practice address
26-07 Broadway Ste 16D
Fair Lawn, NJ 07410-3833
Phone
(917) 538-2916
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Shirley Leibowitz, LCSWNPI 1679848451
Title
Clinical Social Worker
Phone
(917) 538-2916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05480500 NJ Primary

Addresses

Primary practice location

26-07 Broadway Ste 16D
Fair Lawn, NJ 07410-3833

Mailing address

388 Plaza Rd N
Fair Lawn, NJ 07410-3620
Phone (917) 538-2916

National Provider Directory

National Provider Directory

Locations

26-07 Broadway
Ste 16D
Fair Lawn, NJ 07410
Phone (917) 538-2916

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": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1952818866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 PLAZA RD N",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103620",
            "telephone_number": "917-538-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26-07 BROADWAY STE 16D",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103833",
            "telephone_number": "917-538-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY LEIBOWITZ, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "917-538-2916",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05480500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.