Individual provider Active NPI

Angelica Adina Rauer, LCSW

  • Social Worker
  • Toms River, NJ
National Provider Identifier
1700553922
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1035 Hooper Ave Ste 2B
Toms River, NJ 08753-8355
Phone
(917) 731-0647
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1035 Hooper Ave Ste 2B
Toms River, NJ 08753-8355

Mailing address

1035 Hooper Ave Ste 2B
Toms River, NJ 08753-8355
Phone (917) 731-0647

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
I20230131003289 NJ Practitioner - Clinical Social Worker 3971974890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1035 Hooper Ave
Suite 2B
Toms River, NJ 08753-8355
Phone (917) 731-0647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing Psychotherapy LLC Social Worker CurrentSince Sep 9, 2022 Accepting new patients

Locations

1035 Hooper Ave
Ste 2B
Toms River, NJ 08753
Phone (732) 600-7266

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1700553922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 HOOPER AVE STE 2B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538355",
            "telephone_number": "917-731-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 HOOPER AVE STE 2B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538355",
            "telephone_number": "917-731-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUER",
        "first_name": "ANGELICA",
        "middle_name": "ADINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.