Eden Mindshift Studio LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EDEN MINDSHIFT STUDIO LLC

Practice address

6 Old Forge LN
Ewing, NJ 08618-1016

Phone

(609) 684-8937

Fax

(609) 809-1845

NPI assigned

Mar 17, 2026

Organization subpart

No

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

Authorized official

Name

Eden Richman, LCSWNPI 1063283422

Title

Owner

Phone

(609) 684-8937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eden Richman, LCSW

  • Clinical Social Worker
  • Ewing, NJ
  • NPI 1063283422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1831047836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD FORGE LN",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181016",
            "telephone_number": "609-684-8937",
            "fax_number": "609-809-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLD FORGE LN",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181016",
            "telephone_number": "609-684-8937",
            "fax_number": "609-809-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN MINDSHIFT STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "EDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-684-8937",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Dunn
• Eastern Dental of Ewing, LLC
• Eden Autism Services
• Eden Autism Services
• Eden Autism Services.
• Lissa Edmond, APN-C
• Nathalie Edmond, PSY.D.
• Education Cafe and Entertainment LLC
• Dahlia Elbaum, OD
• Elite Mental Health LLC

• Clinical Social Worker in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.