Individual provider Active NPI

Raizy Nagel

  • Clinical Social Worker
  • Jackson, NJ
National Provider Identifier
1316596570
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06298400 Issued in NJ
Practice address
39 Chelsea Rd
Jackson, NJ 08527-2645
Phone
(845) 222-6668
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 44SC06298400 NJ Primary

Addresses

Primary practice location

39 Chelsea Rd
Jackson, NJ 08527-2645

Mailing address

39 Chelsea Rd
Jackson, NJ 08527-2645
Phone (845) 222-6668

Other practice location 1

178 W Veterans Hwy
Jackson, NJ 08527-3410
Phone (201) 979-0772 ext. 84553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250811002333 NY Practitioner - Clinical Social Worker 6901304740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Derech Shalom Center IncGroup PAC ID 5496114506, 10 clinicians

Practice addresses (Care Compare)

75 Montebello Rd
Suffern, NY 10901-3746
Phone (845) 523-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06298400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Derech Shalom Center Inc CurrentSince Jul 2, 2025 Accepting new patients
Mechadesh Mental Health Services, Inc PastSince Sep 1, 2019 Accepting new patients
Pinchus Brecher LCSW PLLC Clinical PastSince Sep 1, 2019 Accepting new patients

Locations

75 Montebello Rd
Suffern, NY 10901
Phone (845) 523-9300

Organizations & group practices 3

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1316596570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CHELSEA RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272645",
            "telephone_number": "845-222-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CHELSEA RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272645",
            "telephone_number": "845-222-6668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 W Veterans Hwy",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085273410",
            "country_code": "US",
            "telephone_number": "201-979-0772 x84553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "RAIZY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06298400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.