Individual provider Active NPI

Mary Elizabeth Kindig, MSW

  • Clinical Social Worker
  • Skillman, NJ
National Provider Identifier
1003252644
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06006200 Issued in NJ
Practice address
39 Tamarack Cir
Skillman, NJ 08558-2019
Phone
(609) 375-8638
NPI assigned
May 21, 2013
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 44SC06006200 NJ Primary

Addresses

Primary practice location

39 Tamarack Cir
Skillman, NJ 08558-2019

Mailing address

39 Tamarack Cir
Skillman, NJ 08558-2019
Phone (609) 375-8638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913000731 NJ Practitioner - Clinical Social Worker 7113467416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Therapy IncGroup PAC ID 5395278154, 2 clinicians
Safe Place Counseling and Therapy CenterGroup PAC ID 6204376544, 7 clinicians

Practice addresses (Care Compare)

152 Tamarack Cir
Skillman, NJ 08558-2021
Phone (609) 359-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Place Counseling and Therapy Center CurrentSince Jul 1, 2024 Accepting new patients
Safe Therapy, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

44 Nassau St
Ste 365
Princeton, NJ 08542
Phone (609) 619-0163

152 Tamarack Cir
Skillman, NJ 08558
Phone (609) 359-2266

39 Tamarack Cir
Skillman, NJ 08558
Phone (609) 203-0583

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1003252644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582019",
            "telephone_number": "609-375-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582019",
            "telephone_number": "609-375-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDIG",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06006200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

Verify at the official NPI Registry.