Individual provider Active NPI

Josephine Jarolmen

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1053733758
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC00087500 Issued in NJ
Practice address
115 Pine St
Ridgewood, NJ 07450-1619
Phone
(201) 445-3321
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC00087500 NJ Primary
Clinical Social Worker 1041C0700X R031872-1 NY

Addresses

Primary practice location

115 Pine St
Ridgewood, NJ 07450-1619

Mailing address

352 Corona PL
Ridgewood, NJ 07450-2802
Phone (201) 445-3321

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050405000195 NJ Practitioner - Clinical Social Worker 0648227470 Practice locations: Ridgewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

352 Corona PL
Ridgewood, NJ 07450-2802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SC00087500NJMDClinical Social Worker
R031872-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1053733758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 CORONA PL",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502802",
            "telephone_number": "201-445-3321",
            "fax_number": "201-447-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PINE ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501619",
            "telephone_number": "201-445-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROLMEN",
        "first_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC00087500",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031872-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.