Active NPI
Meredith Kudrick
- Clinical Social Worker
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05991700
- Practice address
- 39 N Clinton Ave
Trenton, NJ 08609-1011 - Phone
- (609) 394-9398
- NPI assigned
- Apr 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05991700 | NJ | Primary |
Addresses
Primary practice location
39 N Clinton Ave
Trenton, NJ 08609-1011
Mailing address
39 N Clinton Ave
Trenton, NJ 08609-1011
Phone (609) 394-9398
Other practice location 1
100 K Johnson Blvd Fl 2
Bordentown, NJ 08505-2275
Phone (609) 303-4300
Other names 1
- Meredith Crane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 K Johnson Blvd N
2ND Floor
Bordentown, NJ 08505-4713
Phone (609) 528-8884
3 Penns TRL
Newtown, PA 18940-1812
Phone (215) 504-1761
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.91 of 100
- Quality
- 79.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Medical Group | Current | Accepting new patients |
Locations
100 K Johnson Blvd
Fl 2
Bordentown, NJ 08505
Phone (609) 303-4300
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
3 Penns Trl
Newtown, PA 18940
Phone (215) 504-1761
1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761
Interoperability endpoints
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
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": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1215519293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 N CLINTON AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086091011",
"telephone_number": "609-394-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 N CLINTON AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086091011",
"telephone_number": "609-394-9398"
}
],
"practiceLocations": [
{
"address_1": "100 K Johnson Blvd Fl 2",
"address_purpose": "LOCATION",
"city": "Bordentown",
"state": "NJ",
"postal_code": "085052275",
"country_code": "US",
"telephone_number": "609-303-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUDRICK",
"first_name": "MEREDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05991700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "CRANE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.