Individual provider Active NPI

Rivka Shakow, LSW

  • Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1528536851
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05986300 Issued in NJ
Practice address
1301 Springdale Rd Ste 150
Cherry Hill, NJ 08003-2763
Phone
(856) 424-1333
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129900 PA
Social Worker 104100000X 44SL05986300 NJ Primary

Addresses

Primary practice location

1301 Springdale Rd Ste 150
Cherry Hill, NJ 08003-2763

Mailing address

1301 Springdale Rd Ste 150
Cherry Hill, NJ 08003-2763
Phone (856) 424-1333

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
I20190319000595 NJ Practitioner - Clinical Social Worker 8022358647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Federation of Southern NJGroup PAC ID 6103869466, 11 clinicians

Practice addresses (Care Compare)

1301 Springdale Rd
Suite 150
Cherry Hill, NJ 08003-2763
Phone (856) 424-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05986300NJMDSocial Worker
SW129900PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Federation of Southern NJ CurrentSince Feb 1, 2019 Accepting new patients

Locations

1301 Springdale Rd
Ste 150
Cherry Hill, NJ 08003
Phone (609) 424-1333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1528536851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SPRINGDALE RD STE 150",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032763",
            "telephone_number": "856-424-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SPRINGDALE RD STE 150",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032763",
            "telephone_number": "856-424-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOW",
        "first_name": "RIVKA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129900",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05986300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.