Individual provider Active NPI

Nicole Marie Maccarone, LSW

  • Social Worker
  • Trenton, NJ
National Provider Identifier
1114088929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05377800 Issued in NJ
Practice address
946 Edgewood Ave
Trenton, NJ 08618-5304
Phone
(609) 393-1626
Fax
(609) 393-3113
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05377800 NJ Primary

Addresses

Primary practice location

946 Edgewood Ave
Trenton, NJ 08618-5304

Mailing address

946 Edgewood Ave
Trenton, NJ 08618-5304
Phone (609) 393-1626

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
I20111110000214 NJ Practitioner - Clinical Social Worker 3779757661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Counseling ServiceGroup PAC ID 1456486208, 5 clinicians

Practice addresses (Care Compare)

353 Nassau St
Princeton, NJ 08540-4623
Phone (609) 924-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05377800NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service of Greater Mercer County CurrentSince Sep 28, 2022 Accepting new patients
Center at 353 CurrentSince Oct 1, 2022 Accepting new patients

Locations

353 Nassau St
Princeton, NJ 08540
Phone (609) 924-0060

707 Alexander Rd
Ste 102
Princeton, NJ 08540
Phone (609) 987-8100

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114088929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 EDGEWOOD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185304",
            "telephone_number": "609-393-1626",
            "fax_number": "609-393-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 EDGEWOOD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185304",
            "telephone_number": "609-393-1626",
            "fax_number": "609-393-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCARONE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05377800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.