Individual provider Active NPI

Kenneth David Ovitz, MSW-L.C.S.W.

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1902335144
Registry record updated Jun 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04644000 Issued in NJ
Practice address
2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531
Phone
(856) 266-2302
NPI assigned
Jun 10, 2017
Last updated
Jun 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2017

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 44SC04644000 NJ Primary

Addresses

Primary practice location

2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531

Mailing address

PO Box 4607
Cherry Hill, NJ 08034-4607
Phone (917) 609-7056

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04644000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ovitz Psychotherapy Associates, LLC Current Accepting new patients

Locations

2001 Lincoln Dr W
Ste A
Marlton, NJ 08053
Phone (609) 417-7300

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": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497052800000",
    "number": "1902335144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4607",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080344607",
            "telephone_number": "917-609-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN DR W STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531531",
            "telephone_number": "856-266-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVITZ",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "credential": "MSW-L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-10",
        "last_updated": "2017-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04644000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.