Active NPI
Rachel Crespo
- Clinical Social Worker
- Randolph, NJ
National Provider Identifier
1891279618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05385400
- Practice address
- 2 W Hanover Ave Ste 203
Randolph, NJ 07869-4222 - Phone
- (201) 693-5610
- NPI assigned
- Sep 18, 2018
- Last updated
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05385400 | NJ | Primary |
Addresses
Primary practice location
2 W Hanover Ave Ste 203
Randolph, NJ 07869-4222
Mailing address
88 Frogtown Rd
Rockaway, NJ 07866-4805
Phone (201) 693-5610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05385400 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1891279618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 FROGTOWN RD",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078664805",
"telephone_number": "201-693-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W HANOVER AVE STE 203",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078694222",
"telephone_number": "201-693-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2021-12-28",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05385400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.