Ruth Churak, MSW,LCSW
Individual provider Active NPI Clinical Social Worker · Atlantic Highlands, NJ
NPI 1215053863 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215053863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC00931000 (NJ)
- Practice address
- 17 E Highland Ave
Atlantic Highlands, NJ 07716-1228 - Phone
- (732) 291-1682
- Fax
- (732) 291-7275
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- A Freeman'S Place Counseling
Practice addresses (Care Compare)
190 Route 18
Suite 304
East Brunswick, NJ 08816-1407
Phone (732) 333-8530
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260307000051 | NJ | Practitioner - Clinical Social Worker | 6709368764 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00931000 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Freeman'S Place Counseling | Current |
Accepting new patients |
Locations
190 Route 18
Ste 304
East Brunswick, NJ 08816
Phone (732) 333-8520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00931000 | NJ | Yes |
Addresses
Primary practice location
17 E Highland Ave
Atlantic Highlands, NJ 07716-1228
Mailing address
17 E Highland Ave
Atlantic Highlands, NJ 07716-1228
Phone (732) 291-1682
Other providers in Atlantic Highlands, NJ
- Jean Marie Caruso
- Nidia Castellanos
- Tessa Catto
- Zhenni Chen
- Dominique Chilelli
- Kristin Cizek
- Coastal Psychotherapy and Wellness, LLC
- Cognitiveworks Institute LLC
- Community Options, Inc
- Sarah Connnolly
All providers in Atlantic Highlands, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.