MR. MICHAEL HIGGINBOTHAM (NPI# 1720296395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720296395 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL HIGGINBOTHAM |
| Credential | LCSW |
| Practice Address |
302 Blueberry Ct Marlton NJ 08053-1015 |
| Practice Telephone | 8569793032 |
| Mailing Telephone | 8569793032 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05304900 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0008907 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538603618 | Michael Peter Higginbotham II | Counselor | 233 Ne B St Ste 201, Grants Pass, OR 97526-2108 | 2016-12-08 |
| 1194050906 | Michael Higginbotham | Social Worker | 11582 Tivoli Ln, Saint Louis, MO 63146-3500 | 2009-10-13 |
| 1508984188 | Michael T Higginbotham | Dentist | 3710 E. Main, Suite K, Blytheville, AR 72315 | 2007-03-26 |
| 1619992377 | Michael S Higginbotham | Family Medicine | 1002 Schneider Dr Ste 104, Malvern, AR 72104-4823 | 2006-07-13 |
| 1174084990 | Michael Higginbotham | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2019-03-26 |
| 1346505542 | Michael Richard Higginbotham | Dentist | 25916 Dequindre Rd, Warren, MI 48091-6112 | 2012-07-12 |
| 1336188150 | Michael B Higginbotham | Internal Medicine | 2301 House Ave, Cheyenne, WY 82001-3176 | 2006-06-06 |
| Street Address |
302 BLUEBERRY CT |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558871 | Juniper Tree Counseling | Social Worker | 79 E Main St # 12, Marlton, NJ 08053-2139 | 2020-01-31 |
| 1336789726 | Judith L Messenger | Social Worker | 17 Arrowhead Dr, Marlton, NJ 08053-2106 | 2020-01-14 |
| 1285289314 | Mia Aubrey | Social Worker | 24 Pelham Rd, Marlton, NJ 08053-2423 | 2019-08-06 |
| 1174098172 | Karie Jean Mcguire | Social Worker | 2 Eves Dr Ste 104, Marlton, NJ 08053-3193 | 2018-10-05 |
| 1407333131 | Kathleen M Dean Lcsw | Social Worker | 651 Route 73 N Ste 407, Marlton, NJ 08053 | 2018-07-25 |
| 1205343928 | Tara Walsh White | Social Worker | 301 Lippincott Dr Ste 130, Marlton, NJ 08053-4197 | 2018-01-03 |
| 1972969228 | Sarah Goldberg Ellis | Social Worker | 751 Route 73 N Ste 11, Marlton, NJ 08053-3456 | 2016-01-01 |
| 1194196089 | Kimberly Sorgenti | Social Worker | 141 Laurel Rd, Marlton, NJ 08053-2602 | 2015-10-17 |
| 1003211640 | Tree of Life Wellness Center, LLC | Social Worker | 7 Cooper Ave, Suite A, Marlton, NJ 08053-2184 | 2014-10-24 |
| 1316349624 | Katherine Kehoe | Social Worker | 7 Cooper Ave Ste A, Marlton, NJ 08053-2184 | 2014-09-17 |
| Find all providers in MARLTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.