Organization Active NPI

RDS Senior Counseling Services LLC

  • Clinical Social Worker
  • Voorhees, NJ
National Provider Identifier
1912361668
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05444500 Issued in NJ
Legal business name
RDS SENIOR COUNSELING SERVICES LLC
Practice address
13 Heron CT
Voorhees, NJ 08043-1665
Phone
(856) 431-4737
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Rachel Dubrow Smith, MSW, LCSWNPI 1215235668
Title
Managing Member
Phone
(856) 431-4737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05444500 NJ Primary

Addresses

Primary practice location

13 Heron CT
Voorhees, NJ 08043-1665

Mailing address

13 Heron CT
Voorhees, NJ 08043-1665
Phone (856) 431-4737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160706000706 NJ Part B Supplier - Clinic/Group Practice 4284926627 Receives reassigned benefits from 1 practitioner
Practice locations: Voorhees, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1912361668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HERON CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431665",
            "telephone_number": "856-431-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HERON CT",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431665",
            "telephone_number": "856-431-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDS SENIOR COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "DUBROW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "856-431-4737",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05444500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.