Individual provider Active NPI

Jennifer Heller

  • Clinical Social Worker
  • Cape May, NJ
National Provider Identifier
1174305254
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06721000 Issued in NJ
Practice address
31 Lola LN
Cape May, NJ 08204-5115
Phone
(609) 224-4411
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 44SL06721000 NJ Primary

Addresses

Primary practice location

31 Lola LN
Cape May, NJ 08204-5115

Mailing address

31 Lola LN
Cape May, NJ 08204-5115
Phone (609) 224-4411

Other practice location 1

464 Valley Brook Ave Fl 3B
Lyndhurst, NJ 07071-1995
Phone (201) 667-2197

Other practice location 2

622 Valley Rd Ste 5I
Upper Montclair, NJ 07043-1470
Phone (201) 667-2197

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
I20260313004113 NJ Practitioner - Clinical Social Worker 3375026636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

31 Lola LN
Cape May, NJ 08204-5115

622 Valley Rd
Suite 5I
Upper Montclair, NJ 07043-1462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06721000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Cognition PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

622 Valley Rd
Ste 5I
Upper Montclair, NJ 07043
Phone (201) 667-2197

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1174305254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LOLA LN",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "082045115",
            "telephone_number": "609-224-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LOLA LN",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "082045115",
            "telephone_number": "609-224-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Valley Brook Ave Fl 3B",
            "address_purpose": "LOCATION",
            "city": "Lyndhurst",
            "state": "NJ",
            "postal_code": "070711995",
            "country_code": "US",
            "telephone_number": "201-667-2197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Valley Rd Ste 5I",
            "address_purpose": "LOCATION",
            "city": "Upper Montclair",
            "state": "NJ",
            "postal_code": "070431470",
            "country_code": "US",
            "telephone_number": "201-667-2197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06721000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May, NJ

Sources for this page

Verify at the official NPI Registry.