Edward Trockenbrod, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC048290 Issued in NJ

Practice address

6010 Black Horse Pike
Egg Harbor TWP, NJ 08234-9752

Phone

(609) 646-5142

NPI assigned

Dec 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Hammonton, NJ
  • NPI 1093873556
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205998606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082326086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BLACK HORSE PIKE",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082349752",
            "telephone_number": "609-646-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCKENBROD",
        "first_name": "EDWARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "SC048290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of Atlantic County, Inc.
• The Arc of Atlantic County, Inc.
• The Arc of Atlantic County, Inc.
• The Arc of Atlantic County, Inc.
• The Arc of Atlantic County, Inc.
• Nicole Troendle, M.S. CCC-SLP
• Tamara L Vaughan
• Walgreen Co (Walgreens # 13056)
• Rayelle Walters, PHARMD
• Zachary Thomas Wilt, M.D.

• Social Worker in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.