Tina C Nolan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013868 Issued in PA

Practice address

6010 Black Horse Pike
Egg Harbor TWP, NJ 08234-9752

Phone

(609) 272-8580

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlanticare Behavioral Health, Inc.Group PAC ID 3476450354, 28 clinicians

Mindful Counseling Center LLCGroup PAC ID 7719225077, 8 clinicians

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.

• Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Hammonton, NJ
  • NPI 1093873556
  Medicare reassignment Care Compare group NPD
• Mindful Counseling Center LLC

  • Clinical Social Worker
  • Egg Harbor Township, NJ
  • NPI 1164832192
  Medicare reassignment Care Compare group NPD
• Atlanticare Health Services, Inc.

  • Clinic/Center
  • Atlantic City, NJ
  • NPI 1215987771
  Medicare reassignment NPD
• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment NPD
• Atlanticare Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Hammonton, NJ
  • NPI 1982143954
  NPD
• Atlanticare Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Egg Harbor Township, NJ
  • NPI 1407617947
  NPD
• Atlanticare Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlantic City, NJ
  • NPI 1760527782
  NPD
• Atlanticare Physician Group

  • Clinical Social Worker
  • Egg Harbor Township, NJ
  • NPI 1881618494
  NPD
• Atlanticare Physician Group, PA

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Atlantic City, NJ
  • NPI 1801232772
  NPD (past)
• Atlanticare Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Galloway, NJ
  • NPI 1043700495
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1952458051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082326086",
            "telephone_number": "609-272-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BLACK HORSE PIKE",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082349752",
            "telephone_number": "609-272-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 English Creek Ave",
            "address_2": "Bldg 200 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "08234",
            "country_code": "US",
            "telephone_number": "609-407-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "TINA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01959001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Nachodsky, MD
• National Mentor Healthcare, LLC
• National Mentor Healthcare, LLC
• New Jersey Health Network LLC
• NJR Healthcare, P.C.
• Jane Nyilas, LPC
• Ashley O'Brien
• Alexander Onopchenko, MD
• Optimal Health Chiropractic & Sports Injury
• Stephen P. Palumbo, PA-C

• Clinical Social Worker in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, 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 Feb 24, 2021; 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.