Individual provider Active NPI

Ingrid Noemi Templeton, LSW

  • Clinical Social Worker
  • Phillipsburg, NJ
National Provider Identifier
1013374784
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05891200
Practice address
370 Memorial Pkwy
Family Guidance Center of Warren County
Phillipsburg, NJ 08865-1580
Phone
(908) 454-4770
Fax
(908) 454-5317
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 44SL06133800 NJ
Clinical Social Worker 1041C0700X 44SC05891200 Primary

Addresses

Primary practice location

370 Memorial Pkwy
Family Guidance Center of Warren County
Phillipsburg, NJ 08865-1580

Mailing address

492 Route 57 W
Family Guidance Center of Warren County
Washington, NJ 07882-4411
Phone (908) 689-1000

Other names 1

  • Ingrid Hernandez Former name

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
I20191205000680 NJ Practitioner - Clinical Social Worker 3971936964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06133800NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Behavioral MD PA CurrentSince Jul 1, 2020 Accepting new patients
Centra Medical Group, LLC PastSince Jul 1, 2020 Accepting new patients

Locations

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1013374784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 ROUTE 57 W",
            "address_2": "FAMILY GUIDANCE CENTER OF WARREN COUNTY",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824411",
            "telephone_number": "908-689-1000",
            "fax_number": "908-689-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MEMORIAL PKWY",
            "address_2": "FAMILY GUIDANCE CENTER OF WARREN COUNTY",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651580",
            "telephone_number": "908-454-4770",
            "fax_number": "908-454-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLETON",
        "first_name": "INGRID",
        "middle_name": "NOEMI",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06133800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "44SC05891200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "HERNANDEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.