Active NPIIndividual providerSole proprietor

Jon Bercovici, LCSW

Social Worker, Clinical in Hackensack, New Jersey

NPI Number1831491497
Practice location
62 Summit Ave, Hackensack, NJ 07601-8562
Fax
—
Last updated
December 2, 2010

Jon Bercovici is a Social Worker, Clinical based in Hackensack, NJ. Jon Bercovici practices in Hackensack, NJ and has the professional credentials of LCSW. The NPI Number for Jon Bercovici is 1831491497 and holds a License No. 44SC00020000 (NJ). The current practice location address for Jon Bercovici is 62 Summit Ave, Hackensack, NJ 07601-8562 and can be reached out via phone at 201-546-7425.

Provider Profile Details

NPI Number
1831491497
Provider Name
Jon Bercovici
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
62 Summit Ave, Hackensack, NJ 07601-8562
Phone Number
201-546-7425
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2010
Last Update Date
December 2, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Summit Ave
Hackensack, NJ 07601-8562
Zip
07601-8562
Phone Number
201-546-7425
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
185 Prospect Ave
Apt 14 I
Hackensack, NJ 07601-2210
City
Hackensack
State
NJ
Zip
07601-2210
Phone Number
201-446-6880

License Information

License Number
44SC00020000
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 Jon Bercovici, LCSW?

The NPI number of Jon Bercovici, LCSW is 1831491497. It was assigned on December 2, 2010 and is currently active in the NPPES registry.

What is the specialty of Jon Bercovici, LCSW?

Jon Bercovici, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC00020000.

Where does Jon Bercovici, LCSW practice?

The practice location is 62 Summit Ave, Hackensack, NJ 07601-8562. The office can be reached at 201-546-7425 (phone).

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 1831491497 directly on the NPPES registry website.

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