Active NPI
Social Work on the Go
- Community/Behavioral Health Agency
- Hamilton, NJ
National Provider Identifier
1124382502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0400500914
- Legal business name
- SOCIAL WORK ON THE GO
- Practice address
- 3715 E State Street Ext
Hamilton, NJ 08619-2447 - Phone
- (973) 280-5988
- NPI assigned
- Jun 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raye-Ann Quarcoopome
- Title
- Owner/Administrator
- Phone
- (973) 280-5988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0400500914 | NJ | Primary |
Addresses
Primary practice location
3715 E State Street Ext
Hamilton, NJ 08619-2447
Mailing address
PO Box 2883
Hamilton, NJ 08690-0383
Phone (973) 280-5988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3715 E State Street Ext
Hamilton, NJ 08619
Phone (973) 280-5988
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Trenton, NJ
- NPI 1043574510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398124800000",
"number": "1124382502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2883",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086900383",
"telephone_number": "973-280-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 E STATE STREET EXT",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086192447",
"telephone_number": "973-280-5988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIAL WORK ON THE GO",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-29",
"last_updated": "2014-04-22",
"status": "A",
"authorized_official_last_name": "QUARCOOPOME",
"authorized_official_first_name": "RAYE-ANN",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "973-280-5988"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "0400500914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.