Organization Active NPI

Rose J. Testa LCSW LLC

  • Social Worker
  • Toms River, NJ
National Provider Identifier
1144813155
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ROSE J. TESTA LCSW LLC
Practice address
252 Washington St Ste A7
Toms River, NJ 08753-7582
Phone
(609) 360-6690
NPI assigned
Feb 19, 2021
Last updated
Feb 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Rose J Testa, LCSWNPI 1437456514
Title
Owner
Phone
(609) 360-6690

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

252 Washington St Ste A7
Toms River, NJ 08753-7582

Mailing address

189 Catherine LN
Manahawkin, NJ 08050-3612
Phone (609) 360-6690

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rose@thecenterforexpressivetherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202000121 NJ Part B Supplier - Clinic/Group Practice 6406260504 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

249 Clinton Ave
Ste 1
Toms River, NJ 08753
Phone (609) 360-6690

252 Washington St
Ste A7
Toms River, NJ 08753
Phone (609) 360-6690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1144813155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 CATHERINE LN",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503612",
            "telephone_number": "609-360-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WASHINGTON ST STE A7",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537582",
            "telephone_number": "609-360-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE J. TESTA LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-360-6690",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rose@thecenterforexpressivetherapy.com",
            "affiliation": "N",
            "address_1": "252 Washington St Ste A7",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087537582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.

Verify at the official NPI Registry.