Individual provider Active NPI

Mary Janet Poinsett, LCSW

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1700810447
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00289900 Issued in NJ
Practice address
812 State Rd
Suite 220
Princeton, NJ 08540-1400
Phone
(609) 203-0773
Fax
(609) 688-0844
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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 44SC00289900 NJ Primary

Addresses

Primary practice location

812 State Rd
Suite 220
Princeton, NJ 08540-1400

Mailing address

812 State Rd
Suite 220
Princeton, NJ 08540-1400
Phone (609) 203-0773

Other identifiers 1

IdentifierTypeStateIssuer
44SC00289900OtherNJNJ LCSW LICENSE

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
44SC00289900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center Corporation PastSince Mar 31, 1993 Accepting new patients
Montgomery Behavioral Healthcare P.C. Clinical 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1700810447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 STATE RD",
            "address_2": "SUITE 220",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401400",
            "telephone_number": "609-203-0773",
            "fax_number": "609-688-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 STATE RD",
            "address_2": "SUITE 220",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401400",
            "telephone_number": "609-203-0773",
            "fax_number": "609-688-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINSETT",
        "first_name": "MARY",
        "middle_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00289900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LCSW LICENSE",
            "identifier": "44SC00289900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.