Rachel Korenblit

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05863000 Issued in NJ

Practice address

235 Main St Ste 203
Hackensack, NJ 07601

Phone

(973) 567-5384

NPI assigned

Aug 9, 2019

Last updated

Oct 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sworn Refuge LLC

  • Clinical Social Worker
  • Sparta, NJ
  • NPI 1558201285
  NPD Authorized official

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1649825233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAIN ST STE 203",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST STE 203",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "973-567-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENBLIT",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05863000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Despee Bockarie Konneh, PA-C
• Robert Konwinski, BCBA
• Lizabeth A Kopp, MD
• Brian Daniel Kopping, MD
• Jamie Lynn Koprivnikar, M.D.
• Valeria Korshunova, MD
• Katerina Korunovski, FNP-C
• Dejan Koskoski, DPT
• Ian Dennis Kosovsky, DMD
• Lahari Kota, MD

• Clinical Social Worker in Hackensack, NJ
• Providers in Hackensack, 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 Oct 16, 2019; 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.