Individual provider Active NPI

Tabitha Duckrey Barrot, LSW

  • Clinical Social Worker
  • Camden, NJ
National Provider Identifier
1649608076
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06117400 Issued in NJ
Practice address
1 Cooper PLZ
Suite 222
Camden, NJ 08103-1461
Phone
(856) 669-9382
Fax
(856) 361-1368
NPI assigned
Oct 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05789300 NJ
Clinical Social Worker 1041C0700X 44SC06117400 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Suite 222
Camden, NJ 08103-1461

Mailing address

1 Cooper PLZ
Suite 222
Camden, NJ 08103-1461
Phone (856) 669-9382

Other identifiers 2

IdentifierTypeStateIssuer
1568442309OtherNJCOOPER UNIVERSITY HOSPITAL
164960807MedicaidNJ

Other names 1

  • Tabitha Duckrey Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05789300NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kings and Queens Family Services LLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1649608076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "address_2": "SUITE 222",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-669-9382",
            "fax_number": "856-361-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "address_2": "SUITE 222",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-669-9382",
            "fax_number": "856-361-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKREY BARROT",
        "first_name": "TABITHA",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05789300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06117400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COOPER UNIVERSITY HOSPITAL",
            "identifier": "1568442309",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164960807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "DUCKREY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.