Individual provider Active NPI

Cynthia M Wills, LCSW

  • Clinical Social Worker
  • Pompton Plains, NJ
National Provider Identifier
1629343561
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05395300 Issued in NJ
Practice address
287 Boulevard Ste 2
Pompton Plains, NJ 07444-1726
Phone
(201) 259-0653
NPI assigned
Mar 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 44SC05395300 NJ Primary

Addresses

Primary practice location

287 Boulevard Ste 2
Pompton Plains, NJ 07444-1726

Mailing address

605 Grove St Apt A8
Clifton, NJ 07013-3861
Phone (201) 259-0653

Other practice location 1

605 Grove St Apt A8
Clifton, NJ 07013-3861
Phone (201) 259-0653

Other names 1

  • Cynthia Need Former name

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
I20250116001887 NJ Practitioner - Clinical Social Worker 4486182508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lori Phelan LCSW LLCGroup PAC ID 7012369903, 3 clinicians

Practice addresses (Care Compare)

287 Boulevard
Pompton Plains, NJ 07444-1726
Phone (201) 320-6334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05395300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Phelan, LCSW LLC Clinical CurrentSince Nov 6, 2024 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
St. Joseph's Healthcare, Inc. PastSince Aug 9, 2007 Accepting new patients

Locations

287 Boulevard
Ste 2
Pompton Plns, NJ 07444
Phone (845) 393-4723

287 Boulevard
Pompton Plns, NJ 07444
Phone (201) 320-6334

1401 Valley Rd
Ste 303
Wayne, NJ 07470
Phone (201) 320-6334

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": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1629343561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GROVE ST APT A8",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133861",
            "telephone_number": "201-259-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 BOULEVARD STE 2",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441726",
            "telephone_number": "201-259-0653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Grove St Apt A8",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133861",
            "country_code": "US",
            "telephone_number": "201-259-0653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLS",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05395300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "NEED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.