Active NPI
Passion J J Bennett, LSW
- Social Worker
- Bridgeton, NJ
National Provider Identifier
1417773003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL07169800
- Practice address
- 601 Bridgeton Ave
Bridgeton, NJ 08302-4810 - Phone
- (856) 825-0255
- Fax
- (856) 678-9401
- NPI assigned
- Nov 27, 2024
- Sex
- Female
- Sole proprietor
- No
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.
-
- Community/Behavioral Health Agency
- Bridgeton, NJ
- NPI 1538918065
-
- Case Management Agency
- Burlington, NJ
- NPI 1962662692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL07169800 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resources for Independent Living, Inc. | Current | Accepting new patients | |
| Resources for Independent Living, Inc. | Past | Accepting new patients |
Locations
601 Bridgeton Ave
Bridgeton, NJ 08302
Phone (856) 825-0255
193 N Broadway
Pennsville, NJ 08070
Phone (856) 678-2122
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SL07169800 | NJ | |
| Social Worker | 104100000X | 44SL07169800 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
601 Bridgeton Ave
Bridgeton, NJ 08302-4810
Mailing address
193 N Broadway
Pennsville, NJ 08070-1417
Phone (856) 678-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2024.
{
"created_epoch": "1732665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1417773003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 N BROADWAY",
"city": "PENNSVILLE",
"state": "NJ",
"postal_code": "080701417",
"telephone_number": "856-678-9400",
"fax_number": "856-678-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BRIDGETON AVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083024810",
"telephone_number": "856-825-0255",
"fax_number": "856-678-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "PASSION",
"middle_name": "J J",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-27",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SL07169800",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL07169800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.