Active NPI
Agewell Health Services LLC
- Clinical Social Worker
- Lakewood, NJ
National Provider Identifier
1649134263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- AGEWELL HEALTH SERVICES LLC
- Practice address
- 784 Park Ave
Lakewood, NJ 08701-2025 - Phone
- (732) 814-9428
- NPI assigned
- Dec 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rivkah Uhr
- Title
- Owner
- Phone
- (732) 814-9428
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
784 Park Ave
Lakewood, NJ 08701-2025
Mailing address
784 Park Ave
Lakewood, NJ 08701-2025
Phone (732) 814-9428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260520002091 | PA | Part B Supplier - Clinic/Group Practice | 1153890025 |
Receives reassigned benefits from 5 practitioners Practice locations: Huntingdon Valley, PA; King of Prussia, PA; West Chester, PA; Bala Cynwyd, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1649134263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 PARK AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012025",
"telephone_number": "732-814-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 PARK AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012025",
"telephone_number": "732-814-9428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGEWELL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "UHR",
"authorized_official_first_name": "RIVKAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-814-9428"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.