Audrey Redding-Raines, PH.D.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

50 Union Ave Ste 804B
Irvington, NJ 07111-5221

Phone

(201) 709-4094

NPI assigned

Oct 22, 2017

Last updated

Oct 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Phoenix Risings Counseling Center LLC

  • Clinical Social Worker
  • Irvington, NJ
  • NPI 1417479056
  NPD

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508630400000",
    "number": "1952812505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION AVE STE 804B",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071115221",
            "telephone_number": "201-709-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION AVE STE 804B",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071115221",
            "telephone_number": "201-709-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDING-RAINES",
        "first_name": "AUDREY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Levada Rainey-Johnson
• Parag Champklal Raithatha, OPTICIAN
• Raj H Patel MD PA
• Shasha Randall, LMSW
• Tuseeaf Rathore
• Redlocus Psychotherapy
• Redstone Shine LLC
• Attaur Rehman
• Reliable Healthcare Agency Inc.
• Victoria Sophia Richards

• Social Worker in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.