Active NPI
Robin Axel, LCSW
- Clinical Social Worker
- Roosevelt, NJ
National Provider Identifier
1003948357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00159700
- Practice address
- 30 Farm LN.
Roosevelt, NJ 08555-0507 - Phone
- (609) 426-1711
- Fax
- (609) 426-1711
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00159700 | NJ | Primary |
Addresses
Primary practice location
30 Farm LN.
Roosevelt, NJ 08555-0507
Mailing address
30 Farm LN.
PO Box 507
Roosevelt, NJ 08555-0507
Phone (609) 426-1711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00159700 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities, Diocese of Metuchen | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- New Brunswick, NJ
- NPI 1265196349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003948357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 FARM LN.",
"address_2": "PO BOX 507",
"city": "ROOSEVELT",
"state": "NJ",
"postal_code": "085550507",
"telephone_number": "609-426-1711",
"fax_number": "609-426-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 FARM LN.",
"city": "ROOSEVELT",
"state": "NJ",
"postal_code": "085550507",
"telephone_number": "609-426-1711",
"fax_number": "609-426-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXEL",
"first_name": "ROBIN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00159700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roosevelt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.