Individual provider Active NPI

Marie Genevieve Kifun-Jones, LCSW

  • Clinical Social Worker
  • East Windsor, NJ
National Provider Identifier
1003838970
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00304200 Issued in NJ
Practice address
379 Princeton Hightstown Rd
East Windsor, NJ 08512-2960
Phone
(609) 275-6479
Fax
(609) 275-6479
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00304200 NJ Primary

Addresses

Primary practice location

379 Princeton Hightstown Rd
East Windsor, NJ 08512-2960

Mailing address

9 Spruce St
Princeton Junction, NJ 08550-2020
Phone (609) 275-6479

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
I20050407000779 NJ Practitioner - Clinical Social Worker 5395792691 Practice locations: East Windsor, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

379 Princeton Hightstown Rd
East Windsor, NJ 08512-2960
Phone (609) 275-6479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Trenton CMHC Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003838970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SPRUCE ST",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085502020",
            "telephone_number": "609-275-6479",
            "fax_number": "609-275-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 PRINCETON HIGHTSTOWN RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085122960",
            "telephone_number": "609-275-6479",
            "fax_number": "609-275-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIFUN-JONES",
        "first_name": "MARIE",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00304200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.