Individual provider Active NPI

Neiderling Henry

  • Clinical Social Worker
  • Lawrenceville, NJ
National Provider Identifier
1023539020
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05938800 Issued in NJ
Practice address
2721 Brunswick Pike
Lawrenceville, NJ 08648-4106
Phone
(609) 882-2577
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
School Social Worker 1041S0200X
Clinical Social Worker 1041C0700X 44SC05938800 NJ Primary

Addresses

Primary practice location

2721 Brunswick Pike
Lawrenceville, NJ 08648-4106

Mailing address

2721 Brunswick Pike
Lawrenceville, NJ 08648-4106
Phone (609) 882-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201218000153 NJ Practitioner - Clinical Social Worker 6709298623 Reassigns benefits to 1 organization
I20260116003072 MN Practitioner - Clinical Social Worker 6709298623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05938800NJMDClinical Social Worker
34960MNMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Clinical CurrentSince Jun 27, 2022 Accepting new patients
Legacy Treatment Services Inc Current Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Clinical CurrentSince Oct 5, 2025 Accepting new patients

Locations

4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

1289 Route 38
Ste 203
Hainesport, NJ 08036
Phone (609) 267-1377

2721 US Highway 1
Lawrenceville, NJ 08648
Phone (609) 882-2577

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

795 Woodlane Rd
Westampton, NJ 08060
Phone (609) 261-4970

Organizations & group practices 3

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1023539020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484106",
            "telephone_number": "609-882-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484106",
            "telephone_number": "609-882-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "NEIDERLING",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05938800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.