Individual provider Active NPI

Jennifer Psaki

  • Social Worker
  • Cranbury, NJ
National Provider Identifier
1124695622
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC06395100 Issued in NJ
Practice address
13 N Main St # NA
Cranbury, NJ 08512-3255
Phone
(718) 666-1005
NPI assigned
Jun 4, 2021
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC06395100 NJ Primary

Addresses

Primary practice location

13 N Main St # NA
Cranbury, NJ 08512-3255

Mailing address

97 N Main St # NA
Cranbury, NJ 08512-3221
Phone (718) 666-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424003217 NJ Practitioner - Clinical Social Worker 1355867110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1600 Perrineville Rd
Suite 26
Monroe Township, NJ 08831-4925
Phone (609) 395-7979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Therapy and Counseling LLC CurrentSince Apr 1, 2025 Accepting new patients
Jewish Family & Vocational Services of Middlesex County Inc. CurrentSince Jun 5, 2025 Accepting new patients
Beyond Your Miorror LLC Past Accepting new patients

Locations

8 S Main St
Unit 57
Marlboro, NJ 07746

9 S Main St
Ste 2A
Marlboro, NJ 07746
Phone (732) 977-8799

1600 Perrineville Rd
Ste 26
Monroe Township, NJ 08831
Phone (609) 395-7979

1600 Perrineville Rd
Ste 52
Monroe Twp, NJ 08831
Phone (609) 395-7979

57 S Main St
Neptune, NJ 07753
Phone (212) 500-0560

219 Black Horse Ln
Unit C
North Brunswick, NJ 08902
Phone (732) 777-1940

Organizations & group practices 3

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1124695622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 N MAIN ST # NA",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123221",
            "telephone_number": "718-666-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N MAIN ST # NA",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123255",
            "telephone_number": "718-666-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSAKI",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06395100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranbury, NJ

Sources for this page

Verify at the official NPI Registry.