Active NPI
Joan Jennings
- Social Worker
- Paterson, NJ
National Provider Identifier
1003635913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06985300
- Practice address
- 655 Broadway
Paterson, NJ 07514-1923 - Phone
- (973) 523-0089
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06985300 | NJ | Primary |
Addresses
Primary practice location
655 Broadway
Paterson, NJ 07514-1923
Mailing address
655 Broadway
Paterson, NJ 07514-1923
Phone (973) 523-0089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06985300 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1003635913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141923",
"telephone_number": "973-523-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141923",
"telephone_number": "973-523-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "JOAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06985300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.