Active NPIIndividual providerSole proprietor

Ms. Phyllis J Kertman, LCSW

Social Worker, Clinical in River Edge, New Jersey

NPI Number1073558292
Practice location
117 Kinderkamack RD, Suite 200, River Edge, NJ 07661-1941
Fax
201-441-9711
Last updated
July 8, 2007

Phyllis Jill Kertman is a Social Worker, Clinical based in River Edge, NJ. Phyllis Jill Kertman practices in River Edge, NJ and has the professional credentials of LCSW. The NPI Number for Phyllis Jill Kertman is 1073558292 and holds a License No. 44SCO4548200 (NJ). The current practice location address for Phyllis Jill Kertman is 117 Kinderkamack RD, Suite 200, River Edge, NJ 07661-1941 and can be reached out via phone at 201-441-9335 and via fax at 201-441-9711.

Provider Profile Details

NPI Number
1073558292
Provider Name
Phyllis Jill Kertman
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
117 Kinderkamack RD, Suite 200, River Edge, NJ 07661-1941
Phone Number
201-441-9335
Fax Number
201-441-9711
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
117 Kinderkamack RD
Suite 200
River Edge, NJ 07661-1941
Zip
07661-1941
Phone Number
201-441-9335
Fax Number
201-441-9711
River Edge, NJ 07661Get directions →

Provider Business Mailing Address Details

Address
117 Kinderkamack RD
Suite 200
River Edge, NJ 07661-1941
City
River Edge
State
NJ
Zip
07661-1941
Phone Number
201-441-9335
Fax Number
201-441-9711

License Information

License Number
44SCO4548200
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Phyllis J Kertman, LCSW?

The NPI number of Ms. Phyllis J Kertman, LCSW is 1073558292. It was assigned on June 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Phyllis J Kertman, LCSW?

Ms. Phyllis J Kertman, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SCO4548200.

Where does Ms. Phyllis J Kertman, LCSW practice?

The practice location is 117 Kinderkamack RD, Suite 200, River Edge, NJ 07661-1941. The office can be reached at 201-441-9335 (phone) or 201-441-9711 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073558292 directly on the NPPES registry website.

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