Jason O'Donnell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05541800 Issued in NJ

Practice address

39 Avenue at the CMN
Suite 106
Shrewsbury, NJ 07702-4807

Phone

(732) 943-1326

Fax

(732) 865-7190

NPI assigned

Jun 11, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Twin Rivers Psychotherapy Associates

  • Clinical Social Worker
  • Shrewsbury, NJ
  • NPI 1154715449
  Medicare reassignment Authorized official
• Premier Care LLC Dba Elder Life Home Care LLC

  • Home Health Agency
  • Tinton Falls, NJ
  • NPI 1548769326
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445126400000",
    "number": "1033557137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 AVENUE AT THE CMN",
            "address_2": "SUITE 106",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024807",
            "telephone_number": "732-943-1326",
            "fax_number": "732-865-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 AVENUE AT THE CMN",
            "address_2": "SUITE 106",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024807",
            "telephone_number": "732-943-1326",
            "fax_number": "732-865-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "JASON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2015-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05541800",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Ann Nunes, RN, APN,C
• Ashley L Nunez, PA-C
• Nursefinders Inc
• Nursefinders, Inc.
• Connor O'Callaghan, DPT
• Oakwood Dental Arts of Shrewsbury LLC
• Debra Obrien, MD
• Nicholas Occhipinti, DC
• Odell Family Practice, LLC
• Esther Ogunyemi, M.D.

• Clinical Social Worker in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Oct 18, 2015; 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.