Individual provider Active NPI

Azalea Elsie Howard, LSW

  • Social Worker
  • Hamilton, NJ
National Provider Identifier
1760068621
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05386400 Issued in NJ
Practice address
2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone
(609) 222-4902
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 44SL05386400 NJ
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 44SL05386400 NJ
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X 868033 NJ
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 44SL05386400 NJ Primary

Addresses

Primary practice location

2083 Klockner Rd
Hamilton, NJ 08690-3415

Mailing address

1108 Silver CT
Hamilton Square, NJ 08690-3523
Phone (201) 774-1079

Other practice location 1

1108 Silver Ct
Hamilton Square, NJ 08690-3523
Phone (201) 406-9800

Other practice location 2

1108 Silver Ct
Hamilton Square, NJ 08690-3523
Phone (201) 406-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL05386400NJMDMental Health Counselor
868033NJMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Your Mind Mental Health CurrentSince Mar 28, 2021 Accepting new patients

Locations

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1760068621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 SILVER CT",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086903523",
            "telephone_number": "201-774-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903415",
            "telephone_number": "609-222-4902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 Silver Ct",
            "address_purpose": "LOCATION",
            "city": "Hamilton Square",
            "state": "NJ",
            "postal_code": "086903523",
            "country_code": "US",
            "telephone_number": "201-406-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1108 Silver Ct",
            "address_purpose": "LOCATION",
            "city": "Hamilton Square",
            "state": "NJ",
            "postal_code": "086903523",
            "country_code": "US",
            "telephone_number": "201-406-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "AZALEA",
        "middle_name": "ELSIE",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SL05386400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL05386400",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "868033",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05386400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.