Individual provider Active NPI

Earnestine Williams Simpson, MSW, LCSW

  • Clinical Social Worker
  • Cinnaminson, NJ
National Provider Identifier
1124416771
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SCO4570800 Issued in NJ
Practice address
101 Route 130 S BLDG Suite9
Cinnaminson, NJ 08077-2845
Phone
(856) 866-8795
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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 44SCO4570800 NJ Primary

Addresses

Primary practice location

101 Route 130 S BLDG Suite9
Cinnaminson, NJ 08077-2845

Mailing address

101 Route 130 S BLDG Suite9
Cinnaminson, NJ 08077-2845
Phone (856) 866-8795

Other identifiers 1

IdentifierTypeStateIssuer
0020516MedicaidNJ

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
I20040628000469 NJ Practitioner - Clinical Social Worker 0547246845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Route 130 S
Suite 9 Washington BLDG
Cinnaminson, NJ 08077-2843
Phone (856) 296-2825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SCO4570800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elsa Enterprises PC Clinical CurrentSince Nov 1, 2015 Accepting new patients

Locations

101 Route 130 S
Ste 9
Cinnaminson, NJ 08077
Phone (856) 296-2825

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1124416771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S BLDG SUITE9",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772845",
            "telephone_number": "856-866-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S BLDG SUITE9",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772845",
            "telephone_number": "856-866-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "EARNESTINE",
        "middle_name": "WILLIAMS",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO4570800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020516",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.