Individual provider Active NPI

Jennifer Deuel, LCSW

  • Clinical Social Worker
  • Ocean City, NJ
National Provider Identifier
1194273045
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021955 Issued in PA
Practice address
956 Asbury Ave FL 2
Ocean City, NJ 08226-3536
Phone
(609) 318-4922
Fax
(609) 435-1698
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Family Practice and Counseling Services Network 40 clinicians

Practice addresses (Care Compare)

4700 Wissahickon Ave
Suite 118
Philadelphia, PA 19144-4248
Phone (267) 597-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211119000086 PA Practitioner - Clinical Social Worker 5092104612 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Counseling Services Network, Inc. CurrentSince Aug 10, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. Current Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Aug 10, 2024 Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Compassionate Care Hospice of Marlton, LLC PastSince Apr 1, 2022 Accepting new patients
Resources for Human Development, Inc. Past Accepting new patients

Locations

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Ste 119
Philadelphia, PA 19144
Phone 2158439720 ext. 3640

6120 Woodland Ave
Fl The
Philadelphia, PA 19142
Phone (215) 727-4721

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24075/brand/1/csg/1/fhir/r4

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X CW021955 PA Primary
Social Worker 104100000X

Addresses

NPPES NPI Registry

Primary practice location

956 Asbury Ave FL 2
Ocean City, NJ 08226-3536

Mailing address

1401 S 31St St
Philadelphia, PA 19146-3506

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2022.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1194273045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S 31ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 ASBURY AVE FL 2",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263536",
            "telephone_number": "609-318-4922",
            "fax_number": "609-435-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUEL",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2022-06-15",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021955",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

Verify at the official NPI Registry.