MR. JEFFREY STANLEY SOFFER (NPI# 1417014416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417014416 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY STANLEY SOFFER |
| Credential | LCSW |
| Practice Address |
115 Grand Ave Englewood NJ 07631-3654 |
| Mailing Address |
10 Oak Ave Tenafly NJ 07670-2607 |
| Practice Telephone | 2018948318 |
| Practice Fax Number | 2018714775 |
| Mailing Telephone | 2018948318 |
| Mailing Fax Number | 2018714775 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SC 08388 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | OXFORD INS PROVIDER # | P536670 | 01 |
| NY | LCSW NEW YORK LICENSE | R 014757 | 01 |
| NJ | GROUP PRACTICE TAX ID | 221726712 | 01 |
| NJ | NJ LICENSE | SC 08388 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659438596 | Jeffrey L. Soffer | Obstetrics & Gynecology | 522 E Broad St, Westfield, NJ 07090-2116 | 2007-01-02 |
| Street Address |
115 GRAND AVE |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285838565 | Edwin Lee | Dentist | 115 Grand Ave, Englewood, NJ 07631-3654 | 2007-06-12 |
| 1245443779 | Irby Spine Care PC | Clinic/Center | 115 Grand Ave, Englewood, NJ 07631-3654 | 2007-05-08 |
| 1700902541 | Randi Blitz Irby | Chiropractor | 115 Grand Ave, Englewood, NJ 07631-3654 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189595 | Alyssa Bressman Lcsw LLC | Social Worker | 163 Engle St Ste 5, Englewood, NJ 07631-2530 | 2020-03-20 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1114576287 | Miko E Douglas | Social Worker | 61 Grand Ave Ste 1, Englewood, NJ 07631-3599 | 2019-09-10 |
| 1306344874 | Lauren Mccaman | Social Worker | 601 E Hampden Ave Ste 290, Englewood, CO 80113-2768 | 2018-01-30 |
| 1649782236 | Laura Tarikyan | Social Worker | 44 Engle St Fl 2, Englewood, NJ 07631-2905 | 2017-11-03 |
| 1356891584 | Ryan Wallerius | Social Worker | 4800 Scothills Dr, Englewood, OH 45322-3523 | 2016-10-12 |
| 1093265522 | Kari Moore | Social Worker | 3216 S Lincoln St, Englewood, CO 80113-2538 | 2016-10-07 |
| 1477001048 | Leslie-ann Fromen | Social Worker | 370 Eton St, Englewood, NJ 07631-4719 | 2016-09-13 |
| 1487012720 | Mile High Trauma Therapy Center | Social Worker | 4225 S Logan St, Englewood, CO 80113-4728 | 2016-02-01 |
| 1366807158 | Amanda Christine Marsh | Social Worker | 3534 S. Lincoln, Titan Bldg Attn Amanda Marsh, Englewood, CO 80113-3142 | 2015-12-21 |
| Find all providers in ENGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.