Individual provider Active NPI

Jan Ellen Horwitz, MSW,LCSW

  • Clinical Social Worker
  • West Berlin, NJ
National Provider Identifier
1164668737
Registry record updated Jan 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00202100 Issued in NJ
Practice address
701 S Route 73
Suite F
West Berlin, NJ 08091-2603
Phone
(609) 707-3343
NPI assigned
Jan 1, 2009
Last updated
Jan 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2009

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 44SC00202100 NJ Primary

Addresses

Primary practice location

701 S Route 73
Suite F
West Berlin, NJ 08091-2603

Mailing address

701 S Route 73
Suite F
West Berlin, NJ 08091-2603
Phone (609) 707-3343

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
I20110427000038 NJ Practitioner - Clinical Social Worker 7911182480 Practice locations: West Berlin, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

38 Brownstone Blvd
Voorhees, NJ 08043-3451

701 S Route 73
Suite F
West Berlin, NJ 08091-2603

701S Route 73
West Berlin, NJ 08091-2603
Phone (609) 707-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00202100NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230768000000",
    "number": "1164668737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S ROUTE 73",
            "address_2": "SUITE F",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912603",
            "telephone_number": "609-707-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S ROUTE 73",
            "address_2": "SUITE F",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912603",
            "telephone_number": "609-707-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORWITZ",
        "first_name": "JAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-01",
        "last_updated": "2009-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00202100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

Verify at the official NPI Registry.