Individual provider Active NPI

Cynthia V Kates, MSW

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1821160789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC05224100 Issued in NJ
Practice address
52 E Main St
Flemington, NJ 08822-1224
Phone
(609) 466-4468
Fax
(609) 466-4468
NPI assigned
Nov 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC05224100 NJ Primary
Clinical Social Worker 1041C0700X CW013807 PA

Addresses

Primary practice location

52 E Main St
Flemington, NJ 08822-1224

Mailing address

24 Burd LN
Hopewell, NJ 08525-2612
Phone (609) 466-4468

Other identifiers 6

IdentifierTypeStateIssuer
2031362000OtherNJAMERIHEALTH
4529160OtherNJAETNA
2031362000OtherPAINDEPENDENCE BCBC
P941211OtherPAOXFORD
4529160OtherPAAETNA
P941211OtherNJOXFORD

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
I20041014000138 NJ Practitioner - Clinical Social Worker 4880673425 Practice locations: Flemington, NJ; Skillman, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Burd Lane
Hopewell, NJ 08525-2612

24 Burd LN
Hopewell, NJ 08525-2612

39 Tamarack Cir
Skillman, NJ 08558-2019
Phone (609) 466-4468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC05224100NJMDClinical Social Worker
CW013807PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison and Harrison Associates in Psychological Services Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821160789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BURD LN",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "085252612",
            "telephone_number": "609-466-4468",
            "fax_number": "609-466-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E MAIN ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221224",
            "telephone_number": "609-466-4468",
            "fax_number": "609-466-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATES",
        "first_name": "CYNTHIA",
        "middle_name": "V",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC05224100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2031362000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4529160",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BCBC",
            "identifier": "2031362000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P941211",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4529160",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P941211",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.