Individual provider Active NPI

Jeffrey Corbett Starbuck, M.S.W.

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1457487662
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW #44SC00486400 Issued in NJ
Practice address
32 Mulberry Row
Princeton, NJ 08540-2838
Phone
(609) 683-1544
Fax
(609) 683-7152
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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 LCSW #44SC00486400 NJ Primary

Addresses

Primary practice location

32 Mulberry Row
Princeton, NJ 08540-2838

Mailing address

32 Mulberry Row
Princeton, NJ 08540-2838
Phone (609) 759-0108

Other identifiers 9

IdentifierTypeStateIssuer
03826000OtherMBC PROVIDER #
44SC00486400OtherNJLCSW, NEW JERSEY
5166311OtherAETNA PROVIDER #
IP097379OtherMAGELLAN (MBH) PROVIDER #
PR027175-1OtherNYLCSW, NEW YORK STATE
0064500OtherGHI PROVIDER #
9082278OtherPHCS PIN
104158OtherMHN PROVIDER #
145195OtherVALUE OPTIONS PROVIDER #

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
I20041029000711 NJ Practitioner - Clinical Social Worker 4183686330 Practice locations: Princeton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Mulberry Row
Princeton, NJ 08540-2838
Phone (609) 759-0108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW #44SC00486400NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1457487662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MULBERRY ROW",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402838",
            "telephone_number": "609-759-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MULBERRY ROW",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402838",
            "telephone_number": "609-683-1544",
            "fax_number": "609-683-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARBUCK",
        "first_name": "JEFFREY",
        "middle_name": "CORBETT",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "LCSW #44SC00486400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBC PROVIDER #",
            "identifier": "03826000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW, NEW JERSEY",
            "identifier": "44SC00486400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5166311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN (MBH) PROVIDER #",
            "identifier": "IP097379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW, NEW YORK STATE",
            "identifier": "PR027175-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER #",
            "identifier": "0064500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS  PIN",
            "identifier": "9082278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER #",
            "identifier": "104158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "145195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.