Individual provider Active NPI

Nancy J Goodman, LCSW

  • Clinical Social Worker
  • Hackettstown, NJ
National Provider Identifier
1073620092
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00443700 Issued in NJ
Practice address
26 US Highway 46
Hackettstown, NJ 07840-2602
Phone
(908) 852-9000
NPI assigned
Aug 24, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00443700 NJ Primary
Marriage & Family Therapist 106H00000X 37FI00115800 NJ

Addresses

Primary practice location

26 US Highway 46
Hackettstown, NJ 07840-2602

Mailing address

26 US Highway 46
Hackettstown, NJ 07840-2602
Phone (908) 852-9000

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
I20040907000785 NJ Practitioner - Clinical Social Worker 4082680590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Center for Counseling and Psychotherapy Services LLCGroup PAC ID 4587630439, 2 clinicians

Practice addresses (Care Compare)

26 US Hwy 46
Hackettstown, NJ 07840-2602
Phone (908) 852-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00443700NJMDClinical Social Worker
37FI00115800NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Center for Counseling and Psychotherapy Services, LLC Clinical CurrentSince Jan 3, 2000 Accepting new patients

Locations

26 US Highway 46
Hackettstown, NJ 07840
Phone (908) 852-9000

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, 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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1073620092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 US HIGHWAY 46",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402602",
            "telephone_number": "908-852-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 US HIGHWAY 46",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402602",
            "telephone_number": "908-852-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00443700",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00115800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.