Individual provider Active NPI

Casey Jane Muller

  • Social Worker
  • Collingswood, NJ
National Provider Identifier
1053001719
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27237 Issued in MD
Practice address
206 Garfield Ave Apt D
Collingswood, NJ 08108-3803
Phone
(443) 869-1313
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06808800 NJ
Social Worker 104100000X SW140147 PA
Social Worker 104100000X 27237 MD Primary

Addresses

Primary practice location

206 Garfield Ave Apt D
Collingswood, NJ 08108-3803

Mailing address

206 Garfield Ave Apt D
Collingswood, NJ 08108-3803
Phone (443) 869-1313

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
I20241209004184 NJ Practitioner - Clinical Social Worker 6406382837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337
Phone (844) 542-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27237MDMDSocial Worker
44SL06808800NJMDSocial Worker
SW140147PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. CurrentSince Nov 18, 2024 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Nov 18, 2024 Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

445 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 332-3852

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1053001719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GARFIELD AVE APT D",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081083803",
            "telephone_number": "443-869-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GARFIELD AVE APT D",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081083803",
            "telephone_number": "443-869-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "CASEY",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06808800",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW140147",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

Verify at the official NPI Registry.