Active NPIIndividual providerSole proprietor

Paul D Brodsky, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1912570680
Practice location
247 Burnside Pl, Ridgewood, NJ 07450-1701
Fax
—
Last updated
July 21, 2021

Paul David Brodsky is a Social Worker, Clinical based in Ridgewood, NJ. Paul David Brodsky practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Paul David Brodsky is 1912570680 and holds a License No. 44SC00360300 (NJ). The current practice location address for Paul David Brodsky is 247 Burnside Pl, Ridgewood, NJ 07450-1701 and can be reached out via phone at 201-314-5610.

Provider Profile Details

NPI Number
1912570680
Provider Name
Paul David Brodsky
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
247 Burnside Pl, Ridgewood, NJ 07450-1701
Phone Number
201-314-5610
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Paul David Brodsky, LCSW (Professional Name)
Provider Enumeration Date
July 21, 2021
Last Update Date
July 21, 2021
Certification Date
May 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
247 Burnside Pl
Ridgewood, NJ 07450-1701
Zip
07450-1701
Phone Number
201-314-5610
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
247 Burnside Pl
Ridgewood, NJ 07450-1701
City
Ridgewood
State
NJ
Zip
07450-1701
Phone Number
201-314-5610

License Information

License Number
44SC00360300
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 Paul D Brodsky, LCSW?

The NPI number of Paul D Brodsky, LCSW is 1912570680. It was assigned on July 21, 2021 and is currently active in the NPPES registry.

What is the specialty of Paul D Brodsky, LCSW?

Paul D Brodsky, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC00360300.

Where does Paul D Brodsky, LCSW practice?

The practice location is 247 Burnside Pl, Ridgewood, NJ 07450-1701. The office can be reached at 201-314-5610 (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 1912570680 directly on the NPPES registry website.

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