ARNEZ CROCKETT (NPI# 1467924522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467924522 |
| Entity Type | Individual |
| Full Name | ARNEZ CROCKETT |
| Credential | LCSW |
| Practice Address |
33-11 Broadway Ste 203 Fair Lawn NJ 07410-4638 |
| Mailing Address |
121 E 30th St Paterson NJ 07514-1856 |
| Practice Telephone | 9737693699 |
| Mailing Telephone | 9737046455 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC00023900 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
33-11 BROADWAY STE 203 |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601451 | Joel David Rudolph Sr. | Marriage & Family Therapist | 33-11 Broadway Ste 203, Fair Lawn, NJ 07410-4638 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| 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 |
|---|---|---|---|---|
| 1982217691 | Ryan Levy | Social Worker | 2-19 Lyons Ave, Fair Lawn, NJ 07410-1163 | 2020-08-24 |
| 1134767106 | Nataly Ebid | Social Worker | 40-14 Knott Ter, Fair Lawn, NJ 07410-5322 | 2019-12-20 |
| 1043783293 | Maya Ludman | Social Worker | 10-14 Saddle River Rd Fl 2, Fair Lawn, NJ 07410-5728 | 2019-01-09 |
| 1215438502 | Mindy Beth Schachter, Lcsw, Psya, LLC | Social Worker | 14-25 Plaza Rd Ste 2-3, Fair Lawn, NJ 07410-3546 | 2018-02-22 |
| 1952818866 | Shirley Leibowitz, Lcsw, LLC | Social Worker | 26-07 Broadway Ste 16d, Fair Lawn, NJ 07410-3833 | 2018-01-02 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1124458815 | Sarah Frost | Social Worker | 24-06 Broadway, Fair Lawn, NJ 07410-3038 | 2013-11-18 |
| 1942636311 | Rosa Taccetta | Social Worker | 33-11 Broadway 208, Fair Lawn, NJ 07410 | 2013-09-17 |
| 1063846376 | Patricia Comly | Social Worker | 12-19 River Rd, Fair Lawn, NJ 07410-1843 | 2013-08-23 |
| 1720328305 | Julie Fishelson Mahan | Social Worker | 30 Margaret Ct, Fair Lawn, NJ 07410-4825 | 2013-02-19 |
| Find all providers in FAIR LAWN | ||||
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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.