Individual provider Active NPI

Rod J. Herrera, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1316290232
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00196400 Issued in NJ
Practice address
1040 Kings Hwy N Ste 650
Cherry Hill, NJ 08034-1931
Phone
(609) 385-4061
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00196400 NJ Primary

Addresses

Primary practice location

1040 Kings Hwy N Ste 650
Cherry Hill, NJ 08034-1931

Mailing address

653 Bettlewood Ave
Collingswood, NJ 08108-3004
Phone (609) 980-2640

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170225000039 NJ Practitioner - Clinical Social Worker 9537443288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1101 Kings Hwy N
Suite 103
Cherry Hill, NJ 08034-1912
Phone (609) 980-2640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00196400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rod J. Herrera, LCSW, LLC Clinical CurrentSince Sep 16, 2015 Accepting new patients

Locations

1040 Kings Hwy N
Ste 650
Cherry Hill, NJ 08034
Phone (856) 206-8739

1101 Kings Hwy N
Ste 103
Cherry Hill, NJ 08034
Phone (609) 980-2640

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1316290232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 BETTLEWOOD AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081083004",
            "telephone_number": "609-980-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 KINGS HWY N STE 650",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341931",
            "telephone_number": "609-385-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ROD",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00196400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.