Individual provider Active NPI

Cheryl Ragonesi, LCSW

  • Clinical Social Worker
  • Forked River, NJ
National Provider Identifier
1659034304
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070066-1 Issued in NY
Practice address
230 Hemlock LN
Forked River, NJ 08731-2712
Phone
(646) 648-0862
NPI assigned
Oct 20, 2021
Last updated
May 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 070066-1 NY Primary

Addresses

Primary practice location

230 Hemlock LN
Forked River, NJ 08731-2712

Mailing address

230 Hemlock LN
Forked River, NJ 08731-2712
Phone (646) 648-0862

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
I20220503002616 NJ Practitioner - Clinical Social Worker 6608263058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haven Behavioral Health LLCGroup PAC ID 9234566241, 4 clinicians

Practice addresses (Care Compare)

801 Lacey Rd
Forked River, NJ 08731-1301
Phone (609) 971-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070066-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Health, LLC Clinical CurrentSince Apr 25, 2022 Accepting new patients

Locations

801 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-0040

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1659034304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HEMLOCK LN",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312712",
            "telephone_number": "646-648-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HEMLOCK LN",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312712",
            "telephone_number": "646-648-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGONESI",
        "first_name": "CHERYL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070066-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.