Mary Joan Goepfert, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05989000 Issued in NJ

Practice address

4065 Quakerbridge Road
Princeton Junction, NJ 08550

Phone

(609) 651-4001

Fax

(609) 269-5761

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Charities Diocese of TrentonGroup PAC ID 0345214466, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities, Diocese of Trenton

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1306888656
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396267217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 QUAKERBRIDGE RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085505243",
            "telephone_number": "609-651-4001",
            "fax_number": "609-269-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 QUAKERBRIDGE ROAD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "08550",
            "telephone_number": "609-651-4001",
            "fax_number": "609-269-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEPFERT",
        "first_name": "MARY",
        "middle_name": "JOAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05989000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Shulman Garelick, RD
• Michael W Gervis, DC
• Beth Glasberg, BCBA
• Ronald S Glick, MD
• GMP Family Matters Inc.
• Jayasurya Gollamudi, HIPPA CERTIFIED
• Gopi Mukkavilli, MD
• Alan Stuart Gordon, ED.D.
• Lashonda Green, PSY.D.
• Healthy Minds Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.