Jennifer Prost, LCSW (DE), LSW (NJ)

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0012383 Issued in DE

Practice address

51 Christopher St
Montclair, NJ 07042-4032

Phone

(973) 650-8489

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunflower Radiance Counseling LLC

  • Mental Health Counselor
  • Glenolden, PA
  • NPI 1164172029
  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1124693056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHRISTOPHER ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424032",
            "telephone_number": "973-650-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CHRISTOPHER ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424032",
            "telephone_number": "973-650-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROST",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCSW (DE), LSW (NJ)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Progressive Health Care, LLC
• Provere Physical Therapy - Montclair, LLC
• Pinky Pun, NP
• Crispino Punzalan, M.D.
• Ina Qema, MS,MFT
• Huma Quadir

• 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 Jan 7, 2024; 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.