Organization Active NPI

Rod J. Herrera, LCSW, LLC

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1962946178
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00196400 Issued in NJ
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

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Rod J. Herrera, LCSWNPI 1316290232
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20170225000010 NJ Part B Supplier - Clinic/Group Practice 6901180652 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Hill, 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.

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.

Verify at the official NPI Registry.