Individual provider Active NPI

Phyllis Kopit, LCSW

  • Clinical Social Worker
  • Morristown, NJ
National Provider Identifier
1992875686
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04548100 Issued in NJ
Practice address
20 Community PL
Suite 400
Morristown, NJ 07960-7500
Phone
(973) 868-7063
Fax
(973) 539-3687
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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 44SC04548100 NJ Primary

Addresses

Primary practice location

20 Community PL
Suite 400
Morristown, NJ 07960-7500

Mailing address

20H Heritage Dr
Chatham, NJ 07928-7916
Phone (973) 868-7063

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
I20120726000471 NJ Practitioner - Clinical Social Worker 1254597867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Community PL
Suite 400
Morristown, NJ 07960-7501
Phone (973) 868-7063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phyllis Kopit, LLC Clinical CurrentSince May 29, 2012 Accepting new patients
Michael D. Robinson, M.D., P.a. Past Accepting new patients

Locations

20 Community Pl
Ste 400
Morristown, NJ 07960
Phone (973) 539-8186

Organizations & group practices 2

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1992875686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20H HERITAGE DR",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079287916",
            "telephone_number": "973-868-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY PL",
            "address_2": "SUITE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607500",
            "telephone_number": "973-868-7063",
            "fax_number": "973-539-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPIT",
        "first_name": "PHYLLIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04548100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.