Individual provider Active NPI

Rebecca Henriquez, LCSW

  • Clinical Social Worker
  • Union Beach, NJ
National Provider Identifier
1881861698
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05258800 Issued in NJ
Practice address
347 Park Ave
Union Beach, NJ 07735-2925
Phone
(201) 543-3935
Fax
(732) 241-2341
NPI assigned
May 12, 2008
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 44SC05258800 NJ Primary

Addresses

Primary practice location

347 Park Ave
Union Beach, NJ 07735-2925

Mailing address

347 Park Ave
Union Beach, NJ 07735-2925
Phone (201) 543-3935

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
I20120307000101 NJ Practitioner - Clinical Social Worker 5496914756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 N State RT
17 Suite 250
Paramus, NJ 07652-2821
Phone (201) 543-3935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05258800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Recovery Center, LLC CurrentSince Oct 17, 2015 Accepting new patients

Locations

12 N State Rt 17
Ste 313
Paramus, NJ 07652
Phone (201) 368-2626

140 N State Rt 17
Ste 250
Paramus, NJ 07652
Phone (201) 732-7456

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1881861698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 PARK AVE",
            "city": "UNION BEACH",
            "state": "NJ",
            "postal_code": "077352925",
            "telephone_number": "201-543-3935",
            "fax_number": "732-264-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 PARK AVE",
            "city": "UNION BEACH",
            "state": "NJ",
            "postal_code": "077352925",
            "telephone_number": "201-543-3935",
            "fax_number": "732-241-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05258800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Beach, NJ

Sources for this page

Verify at the official NPI Registry.