COURTNEY MCLAUGHLIN MSW, LSW
NPI 1124592969
Social Worker in Berlin, NJ

NPI Status: Active since January 15, 2019

Contact Information

128 CROSS KEYS RD
BERLIN, NJ
ZIP 08009
Phone: (856) 210-1500

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  • Individual
  • Female
  • Years of Experience 8
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About COURTNEY MCLAUGHLIN

This page provides the complete NPI Profile along with additional information for Courtney Mclaughlin, a provider established in Berlin, New Jersey with a medical specialization in Social Worker and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1124592969 assigned on January 2019. The practitioner's primary taxonomy code is 104100000X with license number 44SL06430100 (NJ). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1124592969
Provider Name
COURTNEY MCLAUGHLIN MSW, LSW
Gender
Female
Entity Type
Individual
Location Address
128 CROSS KEYS RD BERLIN, NJ 08009
Location Phone
(856) 210-1500
Mailing Address
42 BLACKWOOD ROAD CLEMENTON, NJ 08021
Mailing Phone
(609) 790-8059
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
01-15-2019
Last Update Date
01-15-2019
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A social worker like Courtney Mclaughlin helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
44SL06430100
License State
NJ
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Courtney Mclaughlin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Courtney Mclaughlin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2062956667

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240722001874

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124592969, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 0 + 9 + 4 + 9 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124592969.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Community/Behavioral Health
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Professional)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009
Counselor (Mental Health)
128 CROSS KEYS RD
BERLIN, NJ 08009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124592969, enumerated as an "individual" on January 15, 2019.

The provider is located at 128 CROSS KEYS RD BERLIN, NJ 08009 and the phone number is (856) 210-1500.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.