In Solidarity Counseling Practice, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

IN SOLIDARITY COUNSELING PRACTICE, LLC

Practice address

17 Hawthorne Ave
Ewing, NJ 08638-2823

Phone

(609) 672-6668

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Marcia K Mackillop, LCSW

Title

Owner/Therapist

Phone

(609) 672-6668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcia Kipp Adams, LCSW

  • Clinical Social Worker
  • Lawrenceville, NJ
  • NPI 1992044135
  Medicare reassignment NPD

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1902585482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HAWTHORNE AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382823",
            "telephone_number": "609-672-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HAWTHORNE AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382823",
            "telephone_number": "609-672-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN SOLIDARITY COUNSELING PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-10-16",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "MACKILLOP",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "609-672-6668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Ewing, NJ
• Providers in Ewing, 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 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.