Judith Goodman Mecklenburger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04817800 Issued in NJ

Practice address

9 Colonial Ave
Princeton Junction, NJ 08550-1659

Phone

(609) 936-0441

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jewish Family & Children'S Service of Greater Mercer County

  • Clinical Social Worker
  • Princeton, NJ
  • NPI 1629018791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285719765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COLONIAL AVE",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501659",
            "telephone_number": "609-936-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COLONIAL AVE",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501659",
            "telephone_number": "609-936-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLENBURGER",
        "first_name": "JUDITH",
        "middle_name": "GOODMAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04817800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixita Malatesta
• Janet Mariano, M.A.,CCC-SLP
• Claudia Patricia Matallana Hanstveit, LPC
• Katherine McCooe, LAC
• Christpher J. McNulty, LAC
• Sheila Boafoa Mensah, RN
• Mercer Lactation and Wellness
• Katherine Helen Miller, M.D.
• Ahmed Mohammed Abd Mohammed, RPH
• Swati Swapna Moharana

• Clinical Social Worker in Princeton Junction, NJ
• Providers in Princeton Junction, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.