Ted Riskin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04314800 Issued in NJ

Practice address

271 Route 46 W
Suite C-110
Fairfield, NJ 07004-2440

Phone

(973) 785-1938

NPI assigned

Oct 25, 2007

Sex

Male

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

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1710166871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 ROUTE 46 W",
            "address_2": "SUITE C-110",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-785-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 ROUTE 46 W",
            "address_2": "SUITE C-110",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-785-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKIN",
        "first_name": "TED",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04314800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Ralph
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• Cecilia V. Reyes, APN
• Nicholas Ricciotti
• Daniel Andrew Risso, LAC,NCC
• RMG Care Services
• Karissa Marie Roberts
• Aleah Eve Rosner
• Tracey Shaniece Ross, LCSW, LCADC

• Clinical Social Worker in Fairfield, NJ
• Providers in Fairfield, 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 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.