Individual provider Active NPI

Heidi Nina Kolman, LCSW

  • Clinical Social Worker
  • Flemington, NJ
National Provider Identifier
1881629905
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05783200 Issued in NJ
Practice address
26 Main St
Flemington, NJ 08822-1460
Phone
(917) 992-5823
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 44SC05783200 NJ Primary
Social Worker 104100000X 071026 NY

Addresses

Primary practice location

26 Main St
Flemington, NJ 08822-1460

Mailing address

53A Darien
New Hope, PA 18938-1224
Phone (917) 992-5823

Other practice location 1

254 Mountain Ave Ste 202
Hackettstown, NJ 07840-2407
Phone (908) 979-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060213000004 NY Practitioner - Clinical Social Worker 4486669538 Reassigns benefits to 1 organization
Practice locations: Bronx, NY
I20180614000900 NJ Practitioner - Clinical Social Worker 4486669538 Practice locations: Flemington, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Main St
Flemington, NJ 08822-1460
Phone (908) 824-0519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071026NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Heights Health Center, Inc. CurrentSince Dec 15, 2011 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Dec 15, 2011 Accepting new patients
Psychological Associates of North Jersey LLC Past Accepting new patients
Practice Associates Medical Group Social Worker PastSince Feb 25, 2019 Accepting new patients

Locations

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1881629905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53A DARIEN",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189381224",
            "telephone_number": "917-992-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MAIN ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221460",
            "telephone_number": "917-992-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Mountain Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078402407",
            "country_code": "US",
            "telephone_number": "908-979-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLMAN",
        "first_name": "HEIDI",
        "middle_name": "NINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05783200",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "071026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.