Ricky Yaverbaum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04996300 Issued in NJ

Practice address

12 Deerfield Rd
Short Hills, NJ 07078-1404

Phone

(201) 486-7119

NPI assigned

Mar 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Linda Sotnick, MSW, LCSW, LLC

  • Clinical Social Worker
  • Florham Park, NJ
  • NPI 1013373455
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891824181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DEERFIELD RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781404",
            "telephone_number": "201-486-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DEERFIELD RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781404",
            "telephone_number": "201-486-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVERBAUM",
        "first_name": "RICKY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04996300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Lee Weiss, LCSW, BCD
• Well Being Therapy Center LLC
• What to Expect Care Medical of NJ and Ny, P.C.
• Whole Ginger, Inc.
• Brian Edward Wosnitzer, M.D.
• Debra Yeager, MSW, LCSW, CST
• Christopher Allen Yesukevich, IDC
• Tyler Yim
• Daniel Zacharias, M.D.

• Clinical Social Worker in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.