Robert Jaskiewicz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8 Mountainside Park Ter
Montclair, NJ 07043-1209

Phone

(973) 509-8879

Fax

(973) 655-0622

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073524021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MOUNTAINSIDE PARK TER",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431209",
            "telephone_number": "973-509-8879",
            "fax_number": "973-655-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MOUNTAINSIDE PARK TER",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431209",
            "telephone_number": "973-509-8879",
            "fax_number": "973-655-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKIEWICZ",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2031850",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyishia Denise James, LSW
• Janice Victor
• Margaret Janikian, LSW
• Veronica Jaochico, LAMFT
• Julia Jaskiewicz, RD
• Gabriella Jenkins
• Joanie Racquel Jenkins, RN
• Jennifer Melanson Nutrition LLC
• Noelle K. Jensen, LCSW
• Ze Jiang

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, 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.
• 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.