Jennifer Jue Mattle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05156000 Issued in NJ

Practice address

54 W Main St
Maple Shade, NJ 08052-2432

Phone

(856) 667-5353

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053497727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522432",
            "telephone_number": "856-667-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522432",
            "telephone_number": "856-667-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUE MATTLE",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05156000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jags Home Health Care Inc (BrightStar Care of Mt Laurel)
• Nancy Janik, D.O.
• JLS Diagnostics
• John B Hudome Innovative Consulting LLC
• Kenya N Jones
• Irena Jug-Weiss, DMD
• Deborah Kahn, D.M.D.
• Lawrence Kaufman, R.PH.
• Neslihan Keefer, R.PH
• Kelsch Associates Inc. New Jersey

• Clinical Social Worker in Maple Shade, NJ
• Providers in Maple Shade, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.