Individual provider Active NPI

Michelle Renee Groff, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1346742574
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05899600 Issued in NJ
Practice address
1930 Marlton Pike E Ste V105
Cherry Hill, NJ 08003-4101
Phone
(856) 751-0505
NPI assigned
Mar 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 44SC05899600 NJ Primary

Addresses

Primary practice location

1930 Marlton Pike E Ste V105
Cherry Hill, NJ 08003-4101

Mailing address

136 Spruce Ave
Westville, NJ 08093-1118
Phone (856) 371-5345

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
I20200123002667 NJ Practitioner - Clinical Social Worker 7315372133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Meridian Counseling Services, LLCGroup PAC ID 3173835097, 13 clinicians

Practice addresses (Care Compare)

1930 Marlton Pike E
Cherry Hill, NJ 08003-2150
Phone (856) 751-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05899600NJMDClinical Social Worker

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": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1346742574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SPRUCE AVE",
            "city": "WESTVILLE",
            "state": "NJ",
            "postal_code": "080931118",
            "telephone_number": "856-371-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE V105",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080034101",
            "telephone_number": "856-751-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-04",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05899600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.