Individual provider Active NPI

Sharon Beth Zwickler, LCSW

  • Clinical Social Worker
  • Passaic, NJ
National Provider Identifier
1972967784
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05598600 Issued in NJ
Practice address
110 Main Ave
Passaic, NJ 07055-4427
Phone
(973) 777-7638
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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 44SC05598600 NJ Primary

Addresses

Primary practice location

110 Main Ave
Passaic, NJ 07055-4427

Mailing address

25 Curtis Ave
West Orange, NJ 07052-2305
Phone (862) 210-0889

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
I20201218000073 NJ Practitioner - Clinical Social Worker 7618389529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service & Childrens Center of Clifton-Passaic, Inc Clinical CurrentSince Dec 16, 2020 Accepting new patients

Locations

925 Allwood Rd
Clifton, NJ 07012
Phone (973) 777-7638

110 Main Ave
Passaic, NJ 07055
Phone (973) 777-0256

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1972967784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CURTIS AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522305",
            "telephone_number": "862-210-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554427",
            "telephone_number": "973-777-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWICKLER",
        "first_name": "SHARON",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05598600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.