Individual provider Active NPI

Marcus Demott, MSW, LSW

  • Clinical Social Worker
  • Trenton, NJ
National Provider Identifier
1609291186
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL05758500 Issued in NJ
Practice address
39 N Clinton Ave
Trenton, NJ 08609-1011
Phone
(609) 394-5751
NPI assigned
Feb 20, 2014
Last updated
Feb 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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 44SL05758500 NJ Primary

Addresses

Primary practice location

39 N Clinton Ave
Trenton, NJ 08609-1011

Mailing address

39 North Clinton Ave
Trenton, NJ 08609
Phone (609) 394-5751

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
I20250220001670 NJ Practitioner - Clinical Social Worker 9032639000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers New Jersey Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bancroft, a New Jersey Nonprofit CorporationGroup PAC ID 3476842824, 12 clinicians

Practice addresses (Care Compare)

666 Plainsboro Rd
Suite 2000C
Plainsboro, NJ 08536-3048
Phone (800) 774-5516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05758500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Outlooks LLC Current Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation CurrentSince Feb 18, 2025 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

1255 Caldwell Rd
Cherry Hill, NJ 08034
Phone (856) 348-1137

3900 Church Rd
Mount Laurel, NJ 08054
Phone (856) 216-8090

666 Plainsboro Rd
Ste 2000C
Plainsboro, NJ 08536
Phone (609) 503-7389

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1609291186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NORTH CLINTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08609",
            "telephone_number": "609-394-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N CLINTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091011",
            "telephone_number": "609-394-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOTT",
        "first_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05758500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.