Individual provider Active NPI

Ebony Marie Poe

  • Clinical Social Worker
  • Branchburg, NJ
National Provider Identifier
1659233617
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06588400 Issued in NJ
Practice address
971 US Highway 202 N
Branchburg, NJ 08876-3757
Phone
(609) 721-9950
NPI assigned
Nov 28, 2025
Last updated
Jan 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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 44SC06588400 NJ Primary

Addresses

Primary practice location

971 US Highway 202 N
Branchburg, NJ 08876-3757

Mailing address

971 US Highway 202 N Ste R
Branchburg, NJ 08876-3757
Phone (609) 721-9950

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
I20260604001025 NJ Practitioner - Clinical Social Worker 8325519994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1590 Wellington Ave
Savannah, NY 13146-3160

165 Passaic Ave
Suite 200
Fairfield, NJ 07004-3564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06588400NJMDClinical Social Worker

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": "1764288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1659233617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE R",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "609-721-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "609-721-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "EBONY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-28",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06588400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.