Individual provider Active NPI

Jean E Hager, .,L.C.S.W.,L.C.A.D.C

  • Clinical Social Worker
  • Tinton Falls, NJ
National Provider Identifier
1124141593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00359100 Issued in NJ
Practice address
776 Shrewsbury Ave
Suite 204
Tinton Falls, NJ 07724-3006
Phone
(732) 747-2055
Fax
(732) 747-6155
NPI assigned
Apr 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00359100 NJ Primary

Addresses

Primary practice location

776 Shrewsbury Ave
Suite 204
Tinton Falls, NJ 07724-3006

Mailing address

776 Shrewsbury Ave
Suite 204
Tinton Falls, NJ 07724-3006
Phone (732) 747-2055

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

State licenses

LicenseStateTypeSpecialty
44SC00359100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jean E Hager, DSW,LLC Clinical CurrentSince Feb 6, 2022 Accepting new patients

Locations

776 Shrewsbury Ave
Ste 204
Tinton Falls, NJ 07724
Phone (732) 544-9076

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124141593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "SUITE 204",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-747-2055",
            "fax_number": "732-747-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "SUITE 204",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-747-2055",
            "fax_number": "732-747-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "JEAN",
        "middle_name": "E",
        "credential": ".,L.C.S.W.,L.C.A.D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00359100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.