Jessica Hong, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091314 Issued in NY

Practice address

86 Maple St
Rutherford, NJ 07070-1719

Phone

(201) 819-4153

NPI assigned

Nov 8, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Maverick Family Counseling LCSW PLLC

  • Clinical Social Worker
  • Woodstock, NY
  • NPI 1104160738
  Medicare reassignment

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1053029132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MAPLE ST",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MAPLE ST",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701719",
            "telephone_number": "201-819-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhong@maverickpsychotherpygroup.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "404 Zena Rd",
            "city": "Woodstock",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124982626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaeda Linda Henriquez, LAPC
• Bishoy Henry
• Joseph Hessian
• Caroline Hicks, DMD
• Emily Kathryn Holden
• Arline L Horan, MA OTR CHT
• Doris Amy Huang, M.D.
• Ji Y Huang
• Christina Hwang
• Imagine Occupational Therapy, LLC

• Clinical Social Worker in Rutherford, NJ
• Providers in Rutherford, 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 Nov 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.