Healthcare Provider Details

I. General information

NPI: 1619829751
Provider Name (Legal Business Name): SARA AVERY RAUSCHENDORFER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NAMI LN STE 1
HAMILTON NJ
08619-1251
US

IV. Provider business mailing address

PO BOX 4
HOPEWELL NJ
08525-0004
US

V. Phone/Fax

Practice location:
  • Phone: 609-316-6696
  • Fax:
Mailing address:
  • Phone: 609-325-2052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07410300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: