Individual provider Active NPI

Gregory J Pryor, LCSW, LCADC

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1124293428
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05265600 Issued in NJ
Practice address
401 North Route 73
Building 10, Suite 110
Marlton, NJ 08053
Phone
(609) 280-6998
Fax
(856) 983-1511
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00025400 NJ
Clinical Social Worker 1041C0700X 44SC05265600 NJ Primary

Addresses

Primary practice location

401 North Route 73
Building 10, Suite 110
Marlton, NJ 08053

Mailing address

302A Barton Run Blvd
Marlton, NJ 08053
Phone (609) 280-6998

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
I20240710002753 NJ Practitioner - Clinical Social Worker 9436694866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26 S Maple Ave
Suite 203
Marlton, NJ 08053-2002
Phone (609) 280-6998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00025400NJMDAddiction (Substance Use Disorder) Counselor
44SC05265600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesprings Counseling Services LLC Clinical CurrentSince May 30, 2024 Accepting new patients
Community Treatment Options Past Accepting new patients

Locations

401 Route 73 N
Ste 110
Marlton, NJ 08053
Phone (609) 280-6998

26 S Maple Ave
Ste 203
Marlton, NJ 08053
Phone (516) 754-3320

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1124293428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302A BARTON RUN BLVD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "609-280-6998",
            "fax_number": "856-983-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTH ROUTE 73",
            "address_2": "BUILDING 10, SUITE 110",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "609-280-6998",
            "fax_number": "856-983-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00025400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05265600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.