Healthcare Provider Details

I. General information

NPI: 1194878371
Provider Name (Legal Business Name): GRETCHEN RARING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1658 W RIVERSIDE DR # 3
ATLANTIC CITY NJ
08401-1632
US

IV. Provider business mailing address

1658 W RIVERSIDE DR # 3
ATLANTIC CITY NJ
08401-1632
US

V. Phone/Fax

Practice location:
  • Phone: 609-246-0085
  • Fax:
Mailing address:
  • Phone: 609-246-0085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05318800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: