Michael M Nitkowski I, LCSW,LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06410000 Issued in NJ

Practice address

614 Lakeside Dr N
Forked River, NJ 08731-2203

Phone

(609) 879-1966

NPI assigned

Oct 2, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1871467704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 LAKESIDE DR N",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312203",
            "telephone_number": "609-879-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 LAKESIDE DR N",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312203",
            "telephone_number": "609-879-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITKOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_suffix": "I",
        "credential": "LCSW,LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06410000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason John Nemcik
• Joseph Nevoso, PT
• Next Step Support
• Dawn Nichols
• Nina L. Tubilleja, MD, P.C.
• NJ Pain Stop LLC
• Kenneth Noone, LCSW,
• Jeremy Norman
• Northern Compass Counseling, LLC
• Dennis Earl Novak, M.D.

• Clinical Social Worker in Forked River, NJ
• Providers in Forked River, 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 Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.