Organization Active NPI

JBC Therapeutic Services, Inc.

  • Clinical Social Worker
  • Watchung, NJ
National Provider Identifier
1104048719
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04903700 Issued in NJ
Legal business name
JBC THERAPEUTIC SERVICES, INC.
Practice address
786 Mountain Blvd.
Suite 102
Watchung, NJ 07069
Phone
(908) 755-3055
Fax
(908) 755-3155
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jeri B. Rothe, LCSW
Title
President
Phone
(908) 755-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC04903700 NJ Primary

Addresses

Primary practice location

786 Mountain Blvd.
Suite 102
Watchung, NJ 07069

Mailing address

786 Mountain Blvd.
Suite 102
Watchung, NJ 07069
Phone (908) 755-3055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104048719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD.",
            "address_2": "SUITE 102",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "07069",
            "telephone_number": "908-755-3055",
            "fax_number": "908-755-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD.",
            "address_2": "SUITE 102",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "07069",
            "telephone_number": "908-755-3055",
            "fax_number": "908-755-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBC THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTHE",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-755-3055",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04903700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.