Individual provider Active NPI

Ned G Hanover, LCSW

  • Clinical Social Worker
  • Mount Laurel, NJ
National Provider Identifier
1497974406
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05345100 Issued in NJ
Practice address
1203 Sedgefield Dr
Mount Laurel, NJ 08054-1857
Phone
(856) 291-6400
Fax
(856) 291-7202
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015827 PA
Clinical Social Worker 1041C0700X Q1-0011852 DE
Clinical Social Worker 1041C0700X 44SC05345100 NJ Primary

Addresses

Primary practice location

1203 Sedgefield Dr
Mount Laurel, NJ 08054-1857

Mailing address

PO Box 261
Mount Laurel, NJ 08054-0261
Phone (856) 291-6400

Other identifiers 1

IdentifierTypeStateIssuer
0511668MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://hushforms.com/nedhanover-secure-contact-and-file-transfer Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180228003104 NJ Practitioner - Clinical Social Worker 7416218771 Reassigns benefits to 1 organization
Practice locations: Mount Laurel, NJ
I20231204001716 PA Practitioner - Clinical Social Worker 7416218771 Reassigns benefits to 1 organization
I20231204001849 DE Practitioner - Clinical Social Worker 7416218771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1203 A Sedgefield Dr
Mount Laurel, NJ 08054-1857
Phone (267) 230-1220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Oct 31, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Oct 31, 2023 Accepting new patients

Locations

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1497974406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080540261",
            "telephone_number": "856-291-6400",
            "fax_number": "856-291-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SEDGEFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541857",
            "telephone_number": "856-291-6400",
            "fax_number": "856-291-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOVER",
        "first_name": "NED",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015827",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0011852",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05345100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0511668",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://hushforms.com/nedhanover-secure-contact-and-file-transfer",
            "affiliation": "N",
            "endpointDescription": "Secure web form for receiving confidential client information",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Protected health information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure web form",
            "address_1": "1203 Sedgefield Dr",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.