Active NPI
Hollie Crosby, LCSW
- Clinical Social Worker
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06329600
- Practice address
- 1030 Kings Hwy N Ste 202
Cherry Hill, NJ 08034-1907 - Phone
- (856) 341-9655
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 44SC06329600 | NJ | Primary |
Addresses
Primary practice location
1030 Kings Hwy N Ste 202
Cherry Hill, NJ 08034-1907
Mailing address
124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040
Other practice location 1
124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040 ext. 210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301100 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06329600 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LLC | Clinical | Current | Accepting new patients |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Lifebulb LLC | Past | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
1030 Kings Hwy N
Ste 202
Cherry Hill, NJ 08034
Phone (201) 820-0057
505 Main St
Toms River, NJ 08753
Phone (732) 272-0127
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Passaic, NJ
- NPI 1285898098
-
- Mental Health Counselor
- Toms River, NJ
- NPI 1699491464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1124585153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MALLARD ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296014046",
"telephone_number": "864-241-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 KINGS HWY N STE 202",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341907",
"telephone_number": "856-341-9655"
}
],
"practiceLocations": [
{
"address_1": "124 Mallard St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296014046",
"country_code": "US",
"telephone_number": "864-241-1040 x210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSBY",
"first_name": "HOLLIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06329600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301100",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.