Red Oak Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05428100 Issued in NJ

Legal business name

RED OAK PSYCHOTHERAPY LLC

Practice address

100 Haddontowne CT
Cherry Hill, NJ 08034-3602

Phone

(609) 504-2522

Fax

(856) 427-0089

NPI assigned

Jun 14, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janet A Castellini, LCSW LCADCNPI 1982930962

Title

Member

Phone

(609) 504-2522

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janet Amanda Castellini, M.S.S., L.C.S.W.

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1982930962

  NJ

  Medicare reassignment Authorized official
• Stephen Day Ellis, MSW,PHD.

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1205993011
  NPD (past)
• Carole A Nehez, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1376994855
  NPD (past)
• Stephanie C Sanger

  • Social Worker
  • Philadelphia, PA
  • NPI 1952669673

  Clinical

  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1760912661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 FORK BRIDGE RD",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184527",
            "telephone_number": "609-504-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HADDONTOWNE CT",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343602",
            "telephone_number": "609-504-2522",
            "fax_number": "856-427-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1518 Waverly St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191461633",
            "country_code": "US",
            "telephone_number": "609-504-2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED OAK PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CASTELLINI",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-504-2522",
        "authorized_official_credential": "LCSW LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05428100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016387",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW JERSEY",
            "identifier": "44SC05428100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW JERSEY",
            "identifier": "37LC00184100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12223061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1982930962",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA",
            "identifier": "CW016387",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2602881",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9823682",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melissa Christine Reddick
• Deepika M Reddy, DDS
• Rebecca Redel
• Colleen Redmer, PT, DPT
• Michael Lee Redner, PTA

• Clinical Social Worker in Cherry Hill, NJ
• Providers in Cherry Hill, 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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.