Active NPI
Rod J. Herrera, LCSW, LLC
- Clinical Social Worker
- Cherry Hill, NJ
National Provider Identifier
1962946178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00196400
- Legal business name
- ROD J. HERRERA, LCSW, LLC
- Practice address
- 1040 Kings Hwy N Ste 650
Cherry Hill, NJ 08034-1931 - Phone
- (609) 385-4061
- NPI assigned
- Dec 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rod J. Herrera, LCSW
- Title
- Clinical Social Worker
- Phone
- (609) 980-2640
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00196400 | NJ | Primary |
Addresses
Primary practice location
1040 Kings Hwy N Ste 650
Cherry Hill, NJ 08034-1931
Mailing address
653 Bettlewood Ave
Collingswood, NJ 08108-3004
Phone (609) 980-2640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cherry Hill, NJ
- NPI 1316290232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1962946178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 BETTLEWOOD AVE",
"city": "COLLINGSWOOD",
"state": "NJ",
"postal_code": "081083004",
"telephone_number": "609-980-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 KINGS HWY N STE 650",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341931",
"telephone_number": "609-385-4061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROD J. HERRERA, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-06",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "HERRERA",
"authorized_official_first_name": "ROD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "609-980-2640",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00196400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.