Individual provider Active NPI

Rachel Ann Khan-McCroy, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
National Provider Identifier
1871138792
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085913 Issued in NY
Practice address
201 Marin Blvd Apt 511
Jersey City, NJ 07302-6494
Phone
(347) 930-8666
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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 085913 NY Primary

Addresses

Primary practice location

201 Marin Blvd Apt 511
Jersey City, NJ 07302-6494

Mailing address

201 Marin Blvd Apt 511
Jersey City, NJ 07302-6494
Phone (347) 930-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241007001692 NY Practitioner - Clinical Social Worker 5395276935 Reassigns benefits to 1 organization
I20241015002257 NJ Practitioner - Clinical Social Worker 5395276935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Sep 11, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 11, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1871138792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARIN BLVD APT 511",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026494",
            "telephone_number": "347-930-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARIN BLVD APT 511",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026494",
            "telephone_number": "347-930-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN-MCCROY",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.