Organization Active NPI

Asya Rivinson LCSW PC

  • Clinical Social Worker
  • Maplewood, NJ
National Provider Identifier
1780094128
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079083 Issued in NY
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

Updated by the provider on Mar 22, 2017

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
079083OtherNYLCSW
44SC05647900OtherNJLCSW

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.