Individual provider Active NPI

Vanessa Parry Zoog, LCSW

  • Clinical Social Worker
  • Palmyra, NJ
National Provider Identifier
1760638985
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05357000 Issued in NJ
Practice address
303 E Broad St
Palmyra, NJ 08065-1607
Phone
(856) 499-2013
Fax
(856) 499-2016
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Counseling, LLC 4 clinicians

Practice addresses (Care Compare)

1260 Evergreen LN
Cinnaminson, NJ 08077-2412
Phone (856) 499-2013

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
I20080815000482 NJ Practitioner - Clinical Social Worker 7810902327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling, LLC CurrentSince Oct 1, 2012 Accepting new patients

Locations

303 E Broad St
Palmyra, NJ 08065
Phone (856) 499-2013

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05357000 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

303 E Broad St
Palmyra, NJ 08065-1607

Mailing address

303 E Broad St
Palmyra, NJ 08065-1607
Phone (856) 499-2013

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2008.

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1760638985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BROAD ST",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080651607",
            "telephone_number": "856-499-2013",
            "fax_number": "856-499-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BROAD ST",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080651607",
            "telephone_number": "856-499-2013",
            "fax_number": "856-499-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOG",
        "first_name": "VANESSA",
        "middle_name": "PARRY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05357000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, NJ

Sources for this page

Verify at the official NPI Registry.