Individual provider Active NPI

Cindy Caneja, MSW, LCSW

  • Clinical Social Worker
  • Allendale, NJ
National Provider Identifier
1952853673
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05899500 Issued in NJ
Practice address
1 De Mercurio Dr Ste 7
Allendale, NJ 07401-1737
Phone
(201) 975-5196
Fax
(551) 308-0050
NPI assigned
Oct 28, 2016
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 44SC05899500 NJ Primary

Addresses

Primary practice location

1 De Mercurio Dr Ste 7
Allendale, NJ 07401-1737

Mailing address

1 De Mercurio Dr Ste 7
Allendale, NJ 07401-1737
Phone (201) 975-5196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • 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
I20240304002919 NJ Practitioner - Clinical Social Worker 0648615302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Mental Health of Northwest Bergen, LLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

1 De Mercurio Dr
Ste 7
Allendale, NJ 07401
Phone (201) 825-9229

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, 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": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1952853673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DE MERCURIO DR STE 7",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011737",
            "telephone_number": "201-975-5196",
            "fax_number": "551-308-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DE MERCURIO DR STE 7",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011737",
            "telephone_number": "201-975-5196",
            "fax_number": "551-308-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEJA",
        "first_name": "CINDY",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05899500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, NJ

Sources for this page

Verify at the official NPI Registry.