Individual provider Active NPI

Eden Richman, LCSW

  • Clinical Social Worker
  • Ewing, NJ
National Provider Identifier
1063283422
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06576100 Issued in NJ
Practice address
1901 N Olden Avenue Ext Ste 29
Ewing, NJ 08618-2111
Phone
(609) 955-1316
Fax
(609) 616-7904
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 44SC06576100 NJ Primary

Addresses

Primary practice location

1901 N Olden Avenue Ext Ste 29
Ewing, NJ 08618-2111

Mailing address

6 Old Forge LN
Ewing, NJ 08618-1016
Phone (609) 955-1316

Other practice location 1

6 Old Forge Ln
Ewing, NJ 08618-1016
Phone (609) 684-8937

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
I20251229003980 NJ Practitioner - Clinical Social Worker 3870089873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindwell Behavioral HealthGroup PAC ID 4880080266, 11 clinicians

Practice addresses (Care Compare)

1901 N Olden Ave Ext
Suite 29
Ewing, NJ 08618-2111
Phone (609) 237-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06576100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Behavioral Health Mental Health CurrentSince Dec 17, 2025 Accepting new patients
Eden Mindshift Studio LLC Clinical CurrentSince Apr 2, 2026 Accepting new patients

Locations

1901 N Olden Avenue Ext
Ste 29
Ewing, NJ 08618
Phone (609) 237-7100

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1063283422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD FORGE LN",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181016",
            "telephone_number": "609-955-1316",
            "fax_number": "609-809-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT STE 29",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-955-1316",
            "fax_number": "609-616-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Old Forge Ln",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086181016",
            "country_code": "US",
            "telephone_number": "609-684-8937",
            "fax_number": "609-809-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "EDEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06576100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

Verify at the official NPI Registry.