Individual provider Active NPI

Mercedes Noble

  • Social Worker
  • Marlton, NJ
National Provider Identifier
1609460732
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06784000 Issued in NJ
Practice address
777 Route 70 E Ste G101
Marlton, NJ 08053-2548
Phone
(856) 818-4020
Fax
(732) 479-6751
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NJ
Social Worker 104100000X 44SL06784000 NJ Primary

Addresses

Primary practice location

777 Route 70 E Ste G101
Marlton, NJ 08053-2548

Mailing address

60 W Landis Ave
Vineland, NJ 08360-8132
Phone (856) 772-5809

Other practice location 1

60 W Landis Ave
Vineland, NJ 08360-8132
Phone (856) 772-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex Psychiatry and TMS PCGroup PAC ID 7315334000, 41 clinicians

Practice addresses (Care Compare)

165 Passaic Ave
Suite 200
Fairfield, NJ 07004-3526
Phone (856) 818-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince May 15, 2022 Accepting new patients
Tolchin Psychological Services, P.C. CurrentSince Jun 19, 2026 Accepting new patients
JLS Medical PC PastSince Feb 26, 2023 Accepting new patients

Locations

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

Organizations & group practices 3

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1609460732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608132",
            "telephone_number": "856-772-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ROUTE 70 E STE G101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532548",
            "telephone_number": "856-818-4020",
            "fax_number": "732-479-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 W Landis Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083608132",
            "country_code": "US",
            "telephone_number": "856-772-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MERCEDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06784000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.