Individual provider Active NPI

Richard Gerardi, LCSW

  • Clinical Social Worker
  • Tuckerton, NJ
National Provider Identifier
1508953852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05170700 Issued in NJ
Practice address
7 Alexandra Way
Tuckerton, NJ 08087-2089
Phone
(609) 294-1101
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC05170700 NJ Primary

Addresses

Primary practice location

7 Alexandra Way
Tuckerton, NJ 08087-2089

Mailing address

7 Alexandra Way
Tuckerton, NJ 08087-2089
Phone (609) 294-1101

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
I20061219000450 NJ Practitioner - Clinical Social Worker 2365441458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc CurrentSince Nov 27, 2019 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Nov 1, 2023 Accepting new patients
Atlanticare Behavioral Health, Inc. CurrentSince Nov 27, 2019 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

13 N Hartford Ave
Atlantic City, NJ 08401
Phone (609) 348-1161

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508953852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALEXANDRA WAY",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080872089",
            "telephone_number": "609-294-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALEXANDRA WAY",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080872089",
            "telephone_number": "609-294-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDI",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05170700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckerton, NJ

Sources for this page

Verify at the official NPI Registry.