Individual provider Active NPI

Jessica Lynne Estreicher, LSW

  • Social Worker
  • Maplewood, NJ
National Provider Identifier
1093902926
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06878600 Issued in NJ
Practice address
80 Oakview Ave
Maplewood, NJ 07040-2202
Phone
(917) 282-7733
NPI assigned
Sep 25, 2007
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06878600 NJ Primary
Clinical Social Worker 1041C0700X 44SC05288800 NJ

Addresses

Primary practice location

80 Oakview Ave
Maplewood, NJ 07040-2202

Mailing address

330 Milltown Rd
East Brunswick, NJ 08816-2267
Phone (917) 282-7733

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06878600NJMDSocial Worker
44SC05288800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1093902926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MILLTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162267",
            "telephone_number": "917-282-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OAKVIEW AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402202",
            "telephone_number": "917-282-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTREICHER",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06878600",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05288800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.