Individual provider Active NPI

Katrese Carter-Robinson, MSW, LSW

  • Social Worker
  • Camden, NJ
National Provider Identifier
1659850980
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
584 Benson St # 9Am-7PM
Camden, NJ 08103-1324
Phone
(856) 961-1990
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

584 Benson St # 9Am-7PM
Camden, NJ 08103-1324

Mailing address

107 Salina Rd
Sewell, NJ 08080-1684
Phone (856) 964-1990

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
I20240816002184 NJ Practitioner - Clinical Social Worker 2769920198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers New Jersey Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peaceful Practices Counseling LLCGroup PAC ID 5698114650, 10 clinicians

Practice addresses (Care Compare)

103 Old Marlton Pike
Suite 101
Medford, NJ 08055-8772
Phone (856) 223-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Practices Counseling LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

103 Old Marlton Pike
Ste 101
Medford, NJ 08055
Phone (609) 953-3440

520 Stokes Rd
Ste A5
Medford, NJ 08055
Phone (856) 223-2222

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1659850980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SALINA RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801684",
            "telephone_number": "856-964-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BENSON ST # 9AM-7PM",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031324",
            "telephone_number": "856-961-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-ROBINSON",
        "first_name": "KATRESE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.