Individual provider Active NPI

Agape Abby Boxman, LCSW

  • Clinical Social Worker
  • Oradell, NJ
National Provider Identifier
1841936192
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06085100 Issued in NJ
Practice address
550 Kinderkamack Rd Ste 123
Oradell, NJ 07649-1500
Phone
(917) 471-1087
NPI assigned
May 10, 2022
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06085100 NJ Primary

Addresses

Primary practice location

550 Kinderkamack Rd Ste 123
Oradell, NJ 07649-1500

Mailing address

63 Stockton St
Hillsdale, NJ 07642-2322
Phone (908) 692-7357

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
I20240524000738 NJ Practitioner - Clinical Social Worker 9133561913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

550 Kinderkamack Rd
Oradell, NJ 07649-1500
Phone (917) 471-1087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06085100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Abby Boxman LCSW LLC Clinical CurrentSince Mar 31, 2024 Accepting new patients

Locations

550 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 523-9220

550 Kinderkamack Rd
Ste 123
Oradell, NJ 07649
Phone (917) 471-1087

550 Kinderkamack Rd
Ste 3
Oradell, NJ 07649
Phone (917) 471-1087

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1841936192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 STOCKTON ST",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076422322",
            "telephone_number": "908-692-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 KINDERKAMACK RD STE 123",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491500",
            "telephone_number": "917-471-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXMAN",
        "first_name": "AGAPE",
        "middle_name": "ABBY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06085100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

Verify at the official NPI Registry.