MEDICARE: CGR COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1114885175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CGR COUNSELING LLC

Provider Business Mailing Address
First Line	:	355 COMMUNIPAW AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-4033
Country	:	US
Telephone Number	:	201-455-1522
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 COMMUNIPAW AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-4033
Country	:	US
Telephone Number	:	201-455-1522
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CYNTHIA SELENA RATTO
Credential	:	LCSW
Telephone Number	:	201-736-0182

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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