Active NPI
Jennifer Fowles
- Clinical Social Worker
- Sparta, NJ
National Provider Identifier
1093649543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 9 Fishers LN Ste E
Sparta, NJ 07871-2441 - Phone
- (973) 726-4533
- NPI assigned
- Jun 10, 2026
- Last updated
- Jun 10, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NJ | Primary |
Addresses
Primary practice location
9 Fishers LN Ste E
Sparta, NJ 07871-2441
Mailing address
9 Fishers LN Ste E
Sparta, NJ 07871-2441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Counseling Associates, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1093649543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FISHERS LN STE E",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FISHERS LN STE E",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712441",
"telephone_number": "973-726-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLES",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.