Pearl B Ricklis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01310300 Issued in NJ

Practice address

199 Scoles Ave
Clifton, NJ 07012-1125

Phone

(973) 777-7638

Fax

(973) 777-9311

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jewish Family Service & Childrens Center of Clifton-Passaic, Inc

  dba Jewish Family Service

  • Clinical Social Worker
  • Passaic, NJ
  • NPI 1073885026
  Medicare reassignment NPD
• Jewish Family Service & Children's Center of Clifton/Passaic, Inc.

  dba Jewish Family Service

  • Case Management Agency
  • Passaic, NJ
  • NPI 1457385700

  Clinical

  NPD (past)
• Jewish Family Service & Childrens Center of Clifton-Passaic, Inc

  dba Jewish Family Service

  • Clinical Social Worker
  • Clifton, NJ
  • NPI 1811498702
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568474450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SCOLES AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121125",
            "telephone_number": "973-777-7638",
            "fax_number": "973-777-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SCOLES AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121125",
            "telephone_number": "973-777-7638",
            "fax_number": "973-777-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKLIS",
        "first_name": "PEARL",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01310300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021784",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION ID",
            "identifier": "072145",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN ID",
            "identifier": "270260",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7286582",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID",
            "identifier": "7482682",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P-841937",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Riccioli, M.D.
• Daniel A Rice, M.D.
• Robert Alan Richman, D.C.
• Warren Richman, DMD
• Natasha J Ricketts
• Kristi Ann Riddle, OTD
• Aiman Rifai, M.D.
• Rightway ABA of NJ LLC (RightWay ABA)
• Roy Rim, LMFT
• Mildred Marie Rios, MS

• 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.