Individual provider Active NPI

Jennifer G Eye, LCSW

  • Social Worker
  • Linwood, NJ
National Provider Identifier
1154435782
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SC05290700 Issued in NJ
Practice address
222 New Rd Ste 405
Linwood, NJ 08221-1283
Phone
(609) 377-8118
Fax
(609) 377-8120
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 SC05290700 NJ Primary

Addresses

Primary practice location

222 New Rd Ste 405
Linwood, NJ 08221-1283

Mailing address

242 Sea Pine Dr
Egg Harbor Township, NJ 08234-8125
Phone (609) 385-6476

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
I20130521000572 NJ Practitioner - Clinical Social Worker 3375781925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 New Rd
Suite 405
Linwood, NJ 08221-1283
Phone (609) 377-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC05290700NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Eye Counseling LLC CurrentSince Apr 1, 2018 Accepting new patients

Locations

222 New Rd
Ste 405
Linwood, NJ 08221
Phone (609) 377-8118

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1154435782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 SEA PINE DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082348125",
            "telephone_number": "609-385-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 405",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211283",
            "telephone_number": "609-377-8118",
            "fax_number": "609-377-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYE",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "SC05290700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.