Individual provider Active NPI

Habeebah Abdus-Salaam, LCSW

  • Clinical Social Worker
  • Willingboro, NJ
National Provider Identifier
1609619246
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW027154 Issued in PA
Practice address
38 Gentry LN
Willingboro, NJ 08046-3204
Phone
(609) 827-1617
NPI assigned
Jun 13, 2024
Last updated
Jun 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06557400 NJ
Clinical Social Worker 1041C0700X CW027154 PA Primary

Addresses

Primary practice location

38 Gentry LN
Willingboro, NJ 08046-3204

Mailing address

38 Gentry LN
Willingboro, NJ 08046-3204
Phone (609) 676-4930

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, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06557400NJMDClinical Social Worker
CW027154PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Mind and Wellness Clinical Past Accepting new patients
Blackbird Clinical Services Multi-Specialty Past Accepting new patients

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, 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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1609619246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GENTRY LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463204",
            "telephone_number": "609-676-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 GENTRY LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463204",
            "telephone_number": "609-827-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUS-SALAAM",
        "first_name": "HABEEBAH",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06557400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.