Individual provider Active NPI

Asya Rivinson, LCSW

  • Clinical Social Worker
  • Maplewood, NJ
National Provider Identifier
1093974339
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079083-1 Issued in NY
Practice address
697 Valley St
Suite B1
Maplewood, NJ 07040-2641
Phone
(800) 870-6244
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079083-1 NY Primary
Clinical Social Worker 1041C0700X 44SC05647900 NJ

Addresses

Primary practice location

697 Valley St
Suite B1
Maplewood, NJ 07040-2641

Mailing address

96 Elm St
Millburn, NJ 07041-2112
Phone (800) 870-6244

Other names 1

  • Asya Volberg Former name

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

LicenseStateTypeSpecialty
079083-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Asya Rivinson, LCSW, PC PastSince Feb 18, 2017 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1093974339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 ELM ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070412112",
            "telephone_number": "800-870-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 VALLEY ST",
            "address_2": "SUITE B1",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402641",
            "telephone_number": "800-870-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVINSON",
        "first_name": "ASYA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079083-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05647900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASYA",
            "last_name": "VOLBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.