Individual provider Active NPI

Rachel K Borisow, LCSW

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1952933111
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06050900 Issued in NJ
Practice address
6 Park Ave
Flemington, NJ 08822-1319
Phone
(908) 782-7905
NPI assigned
Feb 6, 2020
Last updated
Feb 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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 44SC06050900 NJ Primary

Addresses

Primary practice location

6 Park Ave
Flemington, NJ 08822-1319

Mailing address

PO Box 468
Oxford, NJ 07863-0468
Phone (908) 887-4077

Other names 1

  • Ms. Rachel Aradia Klotz Former name

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
I20220301002137 NJ Practitioner - Clinical Social Worker 0143614560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northstar Counseling Services LLCGroup PAC ID 6204144165, 9 clinicians

Practice addresses (Care Compare)

114 S 2ND St
Phillipsburg, NJ 08865-1806
Phone (908) 329-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06050900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Diocese of Metuchen Social Worker CurrentSince Feb 15, 2022 Accepting new patients
Catholic Charities Diocese of Metuchen CurrentSince Feb 15, 2022 Accepting new patients
Northstar Counseling Services LLC Clinical CurrentSince Oct 20, 2023 Accepting new patients
Catholic Charities, Diocese of Metuchen Social Worker Current Accepting new patients

Locations

6 Park Ave
Flemington, NJ 08822
Phone (908) 782-7905

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

114 S 2nd St
Phillipsburg, NJ 08865
Phone (908) 329-2144

Organizations & group practices 4

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1952933111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "OXFORD",
            "state": "NJ",
            "postal_code": "078630468",
            "telephone_number": "908-887-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221319",
            "telephone_number": "908-782-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISOW",
        "first_name": "RACHEL",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06050900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "KLOTZ",
            "middle_name": "ARADIA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.