Individual provider Active NPI

Joyce Tiemens, LCSW

  • Clinical Social Worker
  • Hillsborough, NJ
National Provider Identifier
1710522115
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05807700 Issued in NJ
Practice address
573 Hillsborough Rd
Hillsborough, NJ 08844-2910
Phone
(908) 812-9645
NPI assigned
Nov 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18KT00346100 NJ
Clinical Social Worker 1041C0700X 44SC05807700 NJ Primary

Addresses

Primary practice location

573 Hillsborough Rd
Hillsborough, NJ 08844-2910

Mailing address

573 Hillsborough Rd
Hillsborough, NJ 08844-2910
Phone (908) 812-9645

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
I20200414000007 NJ Practitioner - Clinical Social Worker 0446680573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keith Golin PHD LLCGroup PAC ID 6608879226, 23 clinicians

Practice addresses (Care Compare)

103 Pleasant Valley Way
West Orange, NJ 07052-2905
Phone (888) 284-2034

22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5605
Phone (888) 284-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18KT00346100NJMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Golin PHD LLC CurrentSince Mar 15, 2020 Accepting new patients
Keith Golin PHD LLC Current Accepting new patients

Locations

201 Crosswicks St
Bordentown, NJ 08505
Phone (609) 298-9960

22 Old Short Hills Rd
Ste 216
Livingston, NJ 07039
Phone (973) 994-3145

659 Eagle Rock Ave
Ste 4
West Orange, NJ 07052
Phone (855) 274-3395

103 Pleasant Valley Way
West Orange, NJ 07052
Phone (201) 407-5145

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": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1710522115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 HILLSBOROUGH RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442910",
            "telephone_number": "908-812-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 HILLSBOROUGH RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442910",
            "telephone_number": "908-812-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEMENS",
        "first_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00346100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05807700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.