Individual provider Active NPI

Passion J J Bennett, LSW

  • Social Worker
  • Bridgeton, NJ
National Provider Identifier
1417773003
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL07169800 Issued in NJ
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.

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

LicenseStateTypeSpecialty
44SL07169800NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Independent Living, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Resources for Independent Living, Inc. PastSince Dec 1, 2024 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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SL07169800 NJ
Social Worker 104100000X 44SL07169800 NJ Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.