Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GINA RATHJENS LCSW
NPI 1497111223
Social Worker - Clinical in Point Pleasant Boro, NJ

Active since January 08, 2016PECOS Enrolled
1622 BEAVER DAM RD, POINT PLEASANT BORO, NJ 08742(732) 349-5550 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gina Rathjens Lcsw NPPES

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

GINA RATHJENS LCSW (NPI 1497111223) is an individual clinical provider in Point Pleasant Boro, New Jersey, licensed in New Jersey (44SC05887000) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1497111223
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGINA RATHJENSCredential: LCSW
Location Address1622 BEAVER DAM RDPoint Pleasant Boro, NJ 08742-5109
Mailing Address7 Pal DrOcean, NJ 07712-2528 · (914) 420-3284
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 8, 2016
Last NPPES UpdateOctober 30, 2026
NPPES CertifiedOctober 30, 2026
✔ NPI 1497111223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05887000
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1622 BEAVER DAM RD, Point Pleasant Boro, NJ 08742

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gina Rathjens Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557755352
PECOS Enrollment IDI20220221001178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gina Rathjens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
160 ATLANTIC CITY BLVD
Bayville, NJ 08721
  • Reassigned Medicare billing, New Jersey enrollment
  • 69 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
1622 BEAVER DAM RD
POINT PLEASANT BORO, NJ 08742
Acupuncturist
1622 BEAVER DAM RD
POINT PLEASANT BORO, NJ 08742

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 Gina Rathjens's NPI number?

The NPI number for Gina Rathjens is 1497111223. It was assigned to this individual provider in the NPPES registry on January 8, 2016.

Where is Gina Rathjens located?

Gina Rathjens practices at 1622 Beaver Dam Rd, Point Pleasant Boro, NJ 08742. The listed phone number is (732) 349-5550.

What is Gina Rathjens's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gina Rathjens enrolled in Medicare?

Yes. Gina Rathjens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gina Rathjens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Rathjens reassigns Medicare benefits to Ocean Mental Health Services Inc (Bayville, NJ). The 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 Gina Rathjens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gina Rathjens was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.