Richard J Poresky, LCSW MSW MPH DHA MA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC05227000 Issued in NJ

Practice address

1541 Rte 37 E
Toms River, NJ 08753-5717

Phone

(732) 270-2924

Fax

(732) 240-9268

NPI assigned

Nov 6, 2006

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1417036724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WASHINGTON ST",
            "address_2": "SUITE 1A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08721",
            "telephone_number": "732-240-1382",
            "fax_number": "732-240-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 RTE 37 E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087535717",
            "telephone_number": "732-270-2924",
            "fax_number": "732-240-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORESKY",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "LCSW MSW MPH DHA MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05227000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Toms River, NJ
• Providers in Toms River, 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 Sep 4, 2012; 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.