Robert D. Jenkins, LCSW, Csots, CCS, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04971700 Issued in NJ

Legal business name

ROBERT D. JENKINS, LCSW, CSOTS, CCS, LLC

Practice address

134 Linwood Ter
Clifton, NJ 07012-2335

Phone

(973) 204-3793

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Robert David Jenkins, LCSW, CSOTS, CCSNPI 1790080075

Title

Principle

Phone

(973) 204-3793

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert David Jenkins, LCSW

  • Clinical Social Worker
  • Oradell, NJ
  • NPI 1790080075
  NPD (past) Authorized official

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1508307208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491536",
            "telephone_number": "973-204-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 LINWOOD TER",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122335",
            "telephone_number": "973-204-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. JENKINS, LCSW, CSOTS, CCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "973-204-3793",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, CSOTS, CCS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04971700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Rivera Brito
• Yasmine Mercedes Rivera
• Riverside Dental Specialties
• Evgenija Rizmanoski, PHARMD
• Syed M Rizvi, M.D.
• Robert M Klein MD
• Robert Wood Johnson
• Donna Jean Roberto
• Kristopher Robinson
• Rodolfo a Munera

• Clinical Social Worker in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.