Individual provider Active NPI

Vincent Austin-Cole, LCSW

  • Clinical Social Worker
  • Blackwood, NJ
National Provider Identifier
1144624420
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05606400 Issued in NJ
Practice address
111 Hidden Dr
Blackwood, NJ 08012-4431
Phone
(856) 344-5148
NPI assigned
Oct 15, 2014
Last updated
Oct 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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 44SC05606400 NJ Primary

Addresses

Primary practice location

111 Hidden Dr
Blackwood, NJ 08012-4431

Mailing address

111 Hidden Dr
Blackwood, NJ 08012-4431
Phone (856) 344-5148

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
I20200612001850 NJ Practitioner - Clinical Social Worker 3173945532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1601 Tilton Rd
Northfield, NJ 08225-1877
Phone (609) 569-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince May 18, 2020 Accepting new patients
Atlanticare Physician Group PA CurrentSince May 18, 2020 Accepting new patients
Atlanticare Behavioral Health, Inc. Current Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince May 14, 2020 Accepting new patients

Locations

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

120 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 561-4211

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1601 Tilton Rd
Northfield, NJ 08225
Phone (609) 407-1600

Organizations & group practices 4

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1144624420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIDDEN DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124431",
            "telephone_number": "856-344-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIDDEN DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124431",
            "telephone_number": "856-344-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN-COLE",
        "first_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05606400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

Verify at the official NPI Registry.