Antoniette Richburg

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05774600 Issued in NJ

Practice address

138 7TH St
Hazlet Township, NJ 07734-2969

Phone

(908) 419-2044

NPI assigned

Mar 21, 2018

Last updated

Mar 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Specialty Group NJ PCGroup PAC ID 8224559174, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group NJ, PC

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Short Hills, NJ
  • NPI 1548928450
  Medicare reassignment Care Compare group NPD
• Visiting Counselor LLC

  • Clinical Social Worker
  • Hazlet TWP, NJ
  • NPI 1508340811
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1124522412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 7TH ST",
            "city": "HAZLET TOWNSHIP",
            "state": "NJ",
            "postal_code": "077342969",
            "telephone_number": "908-419-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 7TH ST",
            "city": "HAZLET TOWNSHIP",
            "state": "NJ",
            "postal_code": "077342969",
            "telephone_number": "908-419-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHBURG",
        "first_name": "ANTONIETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05774600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids First NJ Advocacy LLC
• Klarissa Martin, BCBA
• Leeann Moore
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 02031)
• Kerri Redden
• Daniel Valenti, LAT, ATC

• Clinical Social Worker in Hazlet Township, NJ
• Providers in Hazlet Township, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.