Individual provider Active NPI

Michelle Marie Cupo, MSW, LCSW

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1366216152
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06271500 Issued in NJ
Practice address
270 S Main St Ste 101
Flemington, NJ 08822-1787
Phone
(908) 923-3969
NPI assigned
Nov 13, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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 44SC06271500 NJ Primary

Addresses

Primary practice location

270 S Main St Ste 101
Flemington, NJ 08822-1787

Mailing address

5 Mesa CT
Oxford, NJ 07863-3237
Phone (908) 295-3865

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
I20231204003485 NJ Practitioner - Clinical Social Worker 1759739584 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia Clinic Group LLC CurrentSince Dec 13, 2023 Accepting new patients

Locations

270 S Main St
Ste 101
Flemington, NJ 08822
Phone (908) 923-3969

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1366216152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MESA CT",
            "city": "OXFORD",
            "state": "NJ",
            "postal_code": "078633237",
            "telephone_number": "908-295-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S MAIN ST STE 101",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221787",
            "telephone_number": "908-923-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPO",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06271500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.