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ELIZABETH BLACKBURN-GRUVER LCSW
NPI 1063884161
Social Worker - Clinical in Willingboro, NJ

Active since October 28, 2015Opted out of Medicare · through Oct 1, 2026
102 TOLEDO LN, WILLINGBORO, NJ 08046(609) 937-0920 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Blackburn-gruver Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH BLACKBURN-GRUVER LCSW (NPI 1063884161) is an individual clinical provider in Willingboro, New Jersey, licensed in New Jersey (44SC05190300) and active in the NPI registry since October 2015. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1063884161
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH BLACKBURN-GRUVERCredential: LCSW
Location Address102 TOLEDO LNWillingboro, NJ 08046-3723
Mailing Address102 Toledo LnWillingboro, NJ 08046-3723 · (609) 937-0920
Phone(609) 937-0920
Sole ProprietorYes
Enumeration DateOctober 28, 2015
✔ NPI 1063884161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05190300
Definition
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.
102 TOLEDO LN, Willingboro, NJ 08046
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elizabeth Blackburn-gruver Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Blackburn-gruver's NPI number?

The NPI number for Elizabeth Blackburn-gruver is 1063884161. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Elizabeth Blackburn-gruver located?

Elizabeth Blackburn-gruver practices at 102 Toledo Ln, Willingboro, NJ 08046. The listed phone number is (609) 937-0920.

What is Elizabeth Blackburn-gruver's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elizabeth Blackburn-gruver enrolled in Medicare?

No. Elizabeth Blackburn-gruver has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Elizabeth Blackburn-gruver was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.