Active NPI
Asya Rivinson LCSW PC
- Clinical Social Worker
- Maplewood, NJ
National Provider Identifier
1780094128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079083
- Legal business name
- ASYA RIVINSON LCSW PC
- Practice address
- 697 Valley St
Suite B1
Maplewood, NJ 07040-2641 - Phone
- (800) 870-6244
- NPI assigned
- May 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Asya Rivinson, LCSW
- Title
- Business Owner
- Phone
- (800) 870-6244
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079083 | NY | Primary |
| Clinic/Center | 261Q00000X | 44SC05647900 | NJ |
Addresses
Primary practice location
697 Valley St
Suite B1
Maplewood, NJ 07040-2641
Mailing address
96 Elm St
Millburn, NJ 07041-2112
Phone (800) 870-6244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079083 | Other | NY | LCSW |
| 44SC05647900 | Other | NJ | LCSW |
National Provider Directory
National Provider DirectoryLocations
697 Valley St
Ste B1
Maplewood, NJ 07040
Phone (800) 870-6244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490140800000",
"number": "1780094128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 ELM ST",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070412112",
"telephone_number": "800-870-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 VALLEY ST",
"address_2": "SUITE B1",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402641",
"telephone_number": "800-870-6244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASYA RIVINSON LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-07",
"last_updated": "2017-03-22",
"status": "A",
"authorized_official_last_name": "RIVINSON",
"authorized_official_first_name": "ASYA",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "800-870-6244",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079083",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NJ",
"license": "44SC05647900",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "079083",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "44SC05647900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.