Individual provider Active NPI

Kevin Higgins, LCSW

  • Clinical Social Worker
  • Mount Holly, NJ
National Provider Identifier
1891164075
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05574500 Issued in NJ
Practice address
112 High St
Mount Holly, NJ 08060-1402
Phone
(609) 267-1930
NPI assigned
Sep 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 44SC05574500 NJ Primary

Addresses

Primary practice location

112 High St
Mount Holly, NJ 08060-1402

Mailing address

112 High St
Mount Holly, NJ 08060-1402
Phone (609) 267-1930

Other practice location 1

6102 Hamilton Way
Eastampton Township, NJ 08060-1673
Phone (484) 515-6125

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
I20221010000024 NJ Practitioner - Clinical Social Worker 5193101574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Treatment Services IncGroup PAC ID 0042526899, 15 clinicians

Practice addresses (Care Compare)

795 Woodlane Rd
Westampton, NJ 08060-3832
Phone (609) 288-3067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Treatment Serivces, Inc. CurrentSince Jun 29, 2022 Accepting new patients
Legacy Treatment Services Inc Current Accepting new patients
Legacy Treatment Services Inc CurrentSince Jun 29, 2022 Accepting new patients
Adolescent Prevention Programs and Learning Experiences Inc Clinical Past Accepting new patients
Adolescent Prevention Programs and Learning Experiences Past Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

1289 Route 38
Ste 203
Hainesport, NJ 08036
Phone (609) 267-1377

10 Route 31 N
Ste 100
Pennington, NJ 08534

795 Woodlane Rd
Ste 301
Westampton, NJ 08060
Phone (609) 267-1377

795 Woodlane Rd
Westampton, NJ 08060
Phone (609) 265-5800

Organizations & group practices 6

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1891164075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601402",
            "telephone_number": "609-267-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601402",
            "telephone_number": "609-267-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6102 Hamilton Way",
            "address_purpose": "LOCATION",
            "city": "Eastampton Township",
            "state": "NJ",
            "postal_code": "080601673",
            "country_code": "US",
            "telephone_number": "484-515-6125",
            "fax_number": "609-400-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "KEVIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05574500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.