Individual provider Active NPI

Marcia Kipp Adams, LCSW

  • Clinical Social Worker
  • Lawrenceville, NJ
National Provider Identifier
1992044135
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05521400 Issued in NJ
Practice address
2688 Main St RM 105
Lawrenceville, NJ 08648-1701
Phone
(609) 651-1244
NPI assigned
Feb 7, 2013
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 CW020324 PA
Clinical Social Worker 1041C0700X 44SC05521400 NJ Primary

Addresses

Primary practice location

2688 Main St RM 105
Lawrenceville, NJ 08648-1701

Mailing address

17 Hawthorne Ave
Ewing, NJ 08638-2823
Phone (609) 672-6668

Other identifiers 4

IdentifierTypeStateIssuer
896321004OtherNJDMHAS-MH
144400OtherPADOH-MH
097115OtherPADDAP
2000480OtherNJDMHAS-SUD

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
I20130226000482 NJ Practitioner - Clinical Social Worker 7618122524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2688 Main St
Lawrenceville, NJ 08648-1701
Phone (609) 467-4174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020324PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
In Solidarity Counseling Practice, LLC Clinical CurrentSince Jul 8, 2023 Accepting new patients

Locations

2688 Main St
Lawrenceville, NJ 08648
Phone (609) 467-4174

2688 Main St
Rm 105
Lawrenceville, NJ 08648
Phone (609) 651-1244

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1992044135",
    "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": "2688 MAIN ST RM 105",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481701",
            "telephone_number": "609-651-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARCIA",
        "middle_name": "KIPP",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020324",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05521400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHAS-MH",
            "identifier": "896321004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH-MH",
            "identifier": "144400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDAP",
            "identifier": "097115",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMHAS-SUD",
            "identifier": "2000480",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.