Individual provider Active NPI

Temima Rothmel, LCSW

  • Clinical Social Worker
  • Medford, NJ
National Provider Identifier
1669849519
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05687000 Issued in NJ
Practice address
66 N Main St
Medford, NJ 08055-2719
Phone
(856) 362-4001
NPI assigned
Aug 26, 2015
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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 44SC05687000 NJ Primary

Addresses

Primary practice location

66 N Main St
Medford, NJ 08055-2719

Mailing address

66 N Main St
Medford, NJ 08055-2719
Phone (609) 714-8400

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
I20161107000222 NJ Practitioner - Clinical Social Worker 2668750027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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
44SC05687000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Federation of Southern NJ Clinical CurrentSince Oct 10, 2016 Accepting new patients
Center for Counseling and Education of Medford Clinical Past Accepting new patients

Locations

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

Organizations & group practices 2

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1669849519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N MAIN ST",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552719",
            "telephone_number": "609-714-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N MAIN ST",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552719",
            "telephone_number": "856-362-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMEL",
        "first_name": "TEMIMA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05687000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.