Individual provider Active NPI

Rita Bouchedid, LCSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1780150102
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01368600 Issued in NJ
Practice address
1130 Hooper Ave
Toms River, NJ 08753-8345
Phone
(908) 322-9623
NPI assigned
Oct 24, 2018
Reactivated
May 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01368600 NJ Primary

Addresses

Primary practice location

1130 Hooper Ave
Toms River, NJ 08753-8345

Mailing address

1130 Hooper Ave
Toms River, NJ 08753-8345
Phone (908) 322-9623

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
I20250827001678 NJ Practitioner - Mental Health Counselor 5597266163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Rutgers New Jersey Medical School, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

551 Park Ave
Suite 7
Scotch Plains, NJ 07076-1767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01368600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calm and Sense - Watchung CurrentSince Aug 1, 2025 Accepting new patients
Calm and Sense LLC. PastSince Feb 23, 2018 Accepting new patients

Locations

31 Mountain Blvd
Bldg U
Warren, NJ 07059
Phone (908) 322-9623

Organizations & group practices 2

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1780150102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538345",
            "telephone_number": "908-322-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538345",
            "telephone_number": "908-322-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHEDID",
        "first_name": "RITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "deactivation_date": "2019-03-14",
        "reactivation_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01368600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.