Individual provider Active NPI

Hugh R Oberholtzer, LCSW

  • Clinical Social Worker
  • Branchburg, NJ
National Provider Identifier
1114711876
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06476700 Issued in NJ
Practice address
971 Rte 202 N Ste 3
Branchburg, NJ 08876-3757
Phone
(908) 800-9590
NPI assigned
Apr 8, 2025
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 44SC06476700 NJ Primary

Addresses

Primary practice location

971 Rte 202 N Ste 3
Branchburg, NJ 08876-3757

Mailing address

180 Franklin Corner Rd Apt I13
Lawrenceville, NJ 08648-2566
Phone (609) 977-0346

Other practice location 1

741 Mount Lucas Rd
Princeton, NJ 08540-1911
Phone (609) 613-4820

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
I20250904000910 NJ Practitioner - Clinical Social Worker 8325540958 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
Cognicare Psychological Services LLCGroup PAC ID 6608204334, 7 clinicians

Practice addresses (Care Compare)

971 US Hwy 202 N
Suite 3
Branchburg, NJ 08876-3757
Phone (908) 800-9590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06476700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cognicare Psychological Services LLC CurrentSince Apr 13, 2025 Accepting new patients
Cognicare Psychological Services LLC CurrentSince May 29, 2025 Accepting new patients

Locations

971 US Highway 202 N
Ste 3
Branchburg, NJ 08876
Phone (908) 255-4687

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": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1114711876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FRANKLIN CORNER RD APT I13",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482566",
            "telephone_number": "609-977-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 RTE 202 N STE 3",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "908-800-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Mount Lucas Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401911",
            "country_code": "US",
            "telephone_number": "609-613-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERHOLTZER",
        "first_name": "HUGH",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06476700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.