Individual provider Active NPI

Kimberly A McElwee, LCSW

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1992057632
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05518900
Practice address
1901 Lakewood Rd Ste 200
Toms River, NJ 08755-1211
Phone
(732) 505-4612
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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 44SC05518900 Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

1901 Lakewood Rd Ste 200
Toms River, NJ 08755-1211

Mailing address

2670 Yorktown Blvd
Unit 32
Brick, NJ 08723
Phone (732) 262-7747

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@sagewellnessctr.com

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
I20140603001575 NJ Practitioner - Clinical Social Worker 7911120357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Wellness Center LLCGroup PAC ID 8729386370, 6 clinicians

Practice addresses (Care Compare)

1901 Lakewood Rd
Suite 200
Toms River, NJ 08755-1211
Phone (732) 505-4612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Wellness Center LLC Clinical CurrentSince Mar 1, 2016 Accepting new patients

Locations

2670 Yorktowne Blvd
Unit 32
Brick, NJ 08723
Phone (732) 262-7747

1901 Lakewood Rd
Ste 200
Toms River, NJ 08755
Phone (732) 262-7747

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1992057632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 YORKTOWN BLVD",
            "address_2": "UNIT 32",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723",
            "telephone_number": "732-262-7747",
            "fax_number": "732-262-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LAKEWOOD RD STE 200",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551211",
            "telephone_number": "732-505-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELWEE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "44SC05518900",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@sagewellnessctr.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1901 Lakewood Rd Ste 200",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087551211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.