Active NPI
Kristin McCarthy, LCSW
- Clinical Social Worker
- Hamilton, NJ
National Provider Identifier
1194182923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06336500
- Practice address
- 2312 Whitehorse Mercerville Road
Suite 207
Hamilton, NJ 08619 - Phone
- (609) 219-1600
- Fax
- (609) 394-0023
- NPI assigned
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 44SC06336500 | NJ | Primary |
Addresses
Primary practice location
2312 Whitehorse Mercerville Road
Suite 207
Hamilton, NJ 08619
Mailing address
2312 Whitehorse Mercerville Road
Suite 207
Hamilton, NJ 08619
Phone (609) 219-1600
Other names 1
- Kristin Boniface
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06336500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1194182923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 WHITEHORSE MERCERVILLE ROAD",
"address_2": "SUITE 207",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "08619",
"telephone_number": "609-219-1600",
"fax_number": "609-394-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 WHITEHORSE MERCERVILLE ROAD",
"address_2": "SUITE 207",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "08619",
"telephone_number": "609-219-1600",
"fax_number": "609-394-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KRISTIN",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06336500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "BONIFACE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.