Individual provider Active NPI

Victoria Ann Boatwright, LCSW

  • Clinical Social Worker
  • Union, NJ
National Provider Identifier
1245809318
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06436500 Issued in NJ
Practice address
2204 Morris Ave Ste 308
Union, NJ 07083-5914
Phone
(908) 322-9623
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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 44SL06436500 NJ Primary

Addresses

Primary practice location

2204 Morris Ave Ste 308
Union, NJ 07083-5914

Mailing address

786 Mountain Blvd Ste 104
Watchung, NJ 07069-6268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • 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
I20240226000084 NJ Practitioner - Clinical Social Worker 2264877646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06436500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart S Haven LLC Social Worker Current Accepting new patients
Calm and Sense - Watchung CurrentSince Feb 1, 2024 Accepting new patients

Locations

31 Mountain Blvd
Bldg U
Warren, NJ 07059
Phone (908) 322-9623

786 Mountain Blvd
Ste 104
Watchung, NJ 07069
Phone (908) 322-9623

Organizations & group practices 2

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1245809318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD STE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 MORRIS AVE STE 308",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835914",
            "telephone_number": "908-322-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATWRIGHT",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06436500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.