Raquel Nicholson, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06521100 Issued in NJ

Practice address

11A Crawford St # 1
Jersey City, NJ 07306-3390

Phone

(551) 220-8637

NPI assigned

Feb 25, 2021

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

State licenses

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1992399448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11A CRAWFORD ST # 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063390",
            "telephone_number": "551-220-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11A CRAWFORD ST # 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063390",
            "telephone_number": "551-220-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "RAQUEL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06521100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuwen Ni
• Aisha Niaz, M.D.
• Maryann Nicastro, MD
• Nitish Nichenametla
• Julie Nicholson, OTR/L
• Nicola a. Vernese M.D., PC
• Charles George Nicola, DC
• Nicole B Baptiste MD a Professional Corporation
• Robyn Nierstedt
• Carmela Nigro, CERTIFIED SOCIAL WOR

• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.