Individual provider Active NPI

Laurie Weinberg, MSW

  • Clinical Social Worker
  • Doylestown, PA
National Provider Identifier
1104018431
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00447700 Issued in NJ
Practice address
5175 Cold Spring Creamery Rd
#2
Doylestown, PA 18902-6228
Phone
(215) 348-9640
Fax
(215) 348-7311
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 44SC00447700 NJ Primary
Clinical Social Worker 1041C0700X CW014349 PA

Addresses

Primary practice location

5175 Cold Spring Creamery Rd
#2
Doylestown, PA 18902-6228

Mailing address

1 Everett Dr
Newtown, PA 18940-1655

Other practice location 1

709 Haddonfield Berlin Rd
Voorhees, NJ 08043
Phone (856) 566-3190

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
I20090223000450 NJ Practitioner - Clinical Social Worker 9537224704 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00447700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 30, 2023 Accepting new patients
CMC Psychiatric Associates, PC CurrentSince Nov 21, 2015 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 30, 2023 Accepting new patients
Catholic Charities, Diocese of Trenton CurrentSince Jan 27, 2018 Accepting new patients
Kennedy Medical Group Practice, P.C. PastSince Jun 15, 2021 Accepting new patients

Locations

200 College Dr
Blackwood, NJ 08012
Phone (856) 536-1630

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

3 Cooper Plz
Rm 307
Camden, NJ 08103
Phone (856) 757-7799

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 325
Moorestown, NJ 08057
Phone (800) 346-7834

39 N Clinton Ave
Trenton, NJ 08609
Phone (609) 394-5157

383 W State St
Trenton, NJ 08618
Phone (609) 278-4933

25 Ikea Dr
Westampton, NJ 08060
Phone (609) 267-9339

101 Burrs Rd
Ste Ab
Westampton, NJ 08060
Phone (609) 261-0240

Organizations & group practices 6

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1104018431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EVERETT DR",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 COLD SPRING CREAMERY RD",
            "address_2": "#2",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026228",
            "telephone_number": "215-348-9640",
            "fax_number": "215-348-7311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Haddonfield Berlin Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-566-3190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "LAURIE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00447700",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.