Individual provider Active NPI

Cory Griffin, LCSW

  • Clinical Social Worker
  • Bernardsville, NJ
National Provider Identifier
1174906135
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06191900 Issued in NJ
Practice address
150 Morristown Rd Ste 108
Bernardsville, NJ 07924-2626
Phone
(732) 982-2888
NPI assigned
Jul 8, 2015
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X 010091 CT
Clinical Social Worker 1041C0700X 44SC06191900 NJ Primary

Addresses

Primary practice location

150 Morristown Rd Ste 108
Bernardsville, NJ 07924-2626

Mailing address

150 Morristown Rd Ste 108
Bernardsville, NJ 07924-2626
Phone (732) 982-2888

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
I20250130000777 NJ Practitioner - Clinical Social Worker 6608138029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Awaken Wellness LLCGroup PAC ID 1254688484, 14 clinicians

Practice addresses (Care Compare)

27 Mountain Blvd
Suite 9
Warren, NJ 07059-5605
Phone (908) 809-9463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010091CTMDClinical Social Worker
44SC06191900NJMDClinical Social Worker
10091CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Wellness, LLC Clinical CurrentSince Jan 22, 2025 Accepting new patients
New Jersey Behavioral Health P.C CurrentSince Apr 15, 2023 Accepting new patients
PHC of Buffalo Grove Clinical Psychology PastSince Mar 26, 2023 Accepting new patients
Realization Center, Inc. PastSince Sep 1, 2015 Accepting new patients
Realization Center Past Accepting new patients

Locations

150 Morristown Rd
Ste 108
Bernardsville, NJ 07924
Phone (844) 259-2366

75 Claremont Rd
Ste 204
Bernardsville, NJ 07924
Phone (908) 204-9312

560 Mountain Ave
Ste 3
Gillette, NJ 07933
Phone (908) 809-9463

525 Route 73 N
Ste 104
Marlton, NJ 08053
Phone (856) 433-7222

27 Mountain Blvd
Ste 9
Warren, NJ 07059
Phone (908) 769-9600

Organizations & group practices 5

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1174906135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MORRISTOWN RD STE 108",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242626",
            "telephone_number": "732-982-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MORRISTOWN RD STE 108",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242626",
            "telephone_number": "732-982-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CORY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010091",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06191900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernardsville, NJ

Sources for this page

Verify at the official NPI Registry.