Active NPI
Nina Crocker, LCSW
- Clinical Social Worker
- Willingboro, NJ
National Provider Identifier
1831635630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05474100
- Practice address
- 429 John F Kennedy Way
Suite 236 Box 3
Willingboro, NJ 08046-2118 - Phone
- (609) 871-4442
- Fax
- (609) 835-6569
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05474100 | NJ | Primary |
Addresses
Primary practice location
429 John F Kennedy Way
Suite 236 Box 3
Willingboro, NJ 08046-2118
Mailing address
360 Leslie St
Newark, NJ 07112-1225
Phone (973) 705-9223
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05474100 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1831635630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 LESLIE ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071121225",
"telephone_number": "973-705-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 JOHN F KENNEDY WAY",
"address_2": "SUITE 236 BOX 3",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080462118",
"telephone_number": "609-871-4442",
"fax_number": "609-835-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKER",
"first_name": "NINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05474100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.