Individual provider Active NPI

Jacqueline Soboti

  • Clinical Social Worker
  • Shrewsbury, NJ
National Provider Identifier
1174001176
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
119 Avenue at the CMN Ste 5
Shrewsbury, NJ 07702-4586
Phone
(732) 221-6418
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 Primary

Addresses

Primary practice location

119 Avenue at the CMN Ste 5
Shrewsbury, NJ 07702-4586

Mailing address

119 Avenue at the CMN Ste 5
Shrewsbury, NJ 07702-4586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 17, 2023 through Jul 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Institute, LLC Current Accepting new patients

Locations

312 Shrewsbury Ave
Ste 1
Red Bank, NJ 07701
Phone (732) 221-6418

119 Avenue At the Cmn
Ste 5
Shrewsbury, NJ 07702
Phone (609) 388-8701

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1174001176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AVENUE AT THE CMN STE 5",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AVENUE AT THE CMN STE 5",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024586",
            "telephone_number": "732-221-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOTI",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.