Active NPI
Rachael Osetkowski
- Clinical Social Worker
- Keyport, NJ
National Provider Identifier
1124494695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05898100
- Practice address
- 100 1St St Apt 7
Keyport, NJ 07735-1507 - Phone
- (848) 228-0826
- NPI assigned
- Aug 19, 2015
- Last updated
- Dec 19, 2022
- 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 | 44SC05898100 | NJ | Primary |
Addresses
Primary practice location
100 1St St Apt 7
Keyport, NJ 07735-1507
Mailing address
100 1St St Apt 7
Keyport, NJ 07735-1507
Phone (848) 228-0826
Other practice location 1
200 White Rd Ste 208
Little Silver, NJ 07739-1162
Phone (732) 945-6771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05898100 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1124494695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 1ST ST APT 7",
"city": "KEYPORT",
"state": "NJ",
"postal_code": "077351507",
"telephone_number": "848-228-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 1ST ST APT 7",
"city": "KEYPORT",
"state": "NJ",
"postal_code": "077351507",
"telephone_number": "848-228-0826"
}
],
"practiceLocations": [
{
"address_1": "200 White Rd Ste 208",
"address_purpose": "LOCATION",
"city": "Little Silver",
"state": "NJ",
"postal_code": "077391162",
"country_code": "US",
"telephone_number": "732-945-6771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSETKOWSKI",
"first_name": "RACHAEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05898100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keyport, NJ
- Joseph Negusei, M.D.
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- Northpoint Medical PC
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- Pinnacle Treatment Centers NJ-IV (Endeavor House)
- Pinnacle Treatment Centers NJ-VII (New Life Counseling)
- Pinnacle Treatment Centers NJ-VII, LLC (New Life Counseling)
- Project Journey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.