Jennifer Longo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05649700 Issued in NJ

Practice address

145 Vreeland Ave
Nutley, NJ 07110-1618

Phone

(973) 235-1212

NPI assigned

Mar 20, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vreeland Associates, LLCGroup PAC ID 3577940840, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vreeland Associates, LLC

  • Professional Counselor
  • Nutley, NJ
  • NPI 1780743120

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458432000000",
    "number": "1013378934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SADLER RD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035319",
            "telephone_number": "973-809-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 VREELAND AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101618",
            "telephone_number": "973-235-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-20",
        "last_updated": "2016-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05649700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reanna Sade Lizardo
• Mahmoud Loghman-Adham, M.D.
• Anthony Lombardo
• Alexandra Danielle Long, APN
• Daniel Philip Longo, D.C.
• John N Longo, DC
• Tiffany Margaret Longo, LCSW
• Marcela Lopes, LMT
• Antonia Elizabeth Lopresti, MD
• Scot Alan Lovejoy, RPH

• Clinical Social Worker in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.