SOCIAL RECOVERY CENTER LLC
NPI 1063289817
Community/Behavioral Health in Springfield, NJ

Active since December 11, 2023CLIA 31D2287575 · Waiver
841 MOUNTAIN AVE, SPRINGFIELD, NJ 07081(845) 422-2912 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Social Recovery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOCIAL RECOVERY CENTER LLC (NPI 1063289817) is a healthcare organization registered as a community/behavioral health in Springfield, New Jersey and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Jacob Taub, Manager, as its authorized official.

NPPES Registry Identity

NPI1063289817
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOCIAL RECOVERY CENTER LLC
Location Address841 MOUNTAIN AVESpringfield, NJ 07081-3437
Mailing Address841 Mountain AveSpringfield, NJ 07081-3437
Organization SubpartNo
Authorized OfficialJacob TaubManager · (845) 422-2912
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 11, 2023
✔ NPI 1063289817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
841 MOUNTAIN AVE, Springfield, NJ 07081

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Social Recovery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Social Recovery Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1275936098
4 FOREST AVE
Paramus, NJ 07652
(201) 565-2920
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2287575

Social Recovery Center · Springfield, NJ
Active · expires Aug 14, 2027
CLIA Number31D2287575
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorTatyana Vaynshteyn
Laboratory Phone(973) 774-2273
Laboratory LocationSocial Recovery Center841 Mountain Ave, Springfield, NJ 07081
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Social Recovery Center LLC's NPI number?

The NPI number for Social Recovery Center LLC is 1063289817. It was assigned to this organization in the NPPES registry on December 11, 2023.

Where is Social Recovery Center LLC located?

Social Recovery Center LLC is located at 841 Mountain Ave, Springfield, NJ 07081. The listed phone number is (845) 422-2912.

What is Social Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Social Recovery Center LLC enrolled in Medicare?

Yes. Social Recovery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Social Recovery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Social Recovery Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Social Recovery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2287575) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Social Recovery Center LLC accept?

Health plans from Oscar Health list Social Recovery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Social Recovery Center LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.