Individual provider Active NPI

Jessica Lauren Schindewolf, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
National Provider Identifier
1194923680
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05535100 Issued in NJ
Practice address
121 Newark Ave Ste 506
Jersey City, NJ 07302-5873
Phone
(609) 516-4253
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078211 NY
Clinical Social Worker 1041C0700X 44SC05535100 NJ Primary

Addresses

Primary practice location

121 Newark Ave Ste 506
Jersey City, NJ 07302-5873

Mailing address

121 Newark Ave Ste 506
Jersey City, NJ 07302-5873

Other practice location 1

344 Grove St Ste 221
Jersey City, NJ 07302-5923
Phone (609) 516-4253

Other practice location 2

462 1st Ave
New York, NY 10016-9196
Phone (212) 562-1123

Other practice location 3

344 Grove St Ste 221
Jersey City, NJ 07302-5923
Phone (609) 516-4253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05535100NJMDClinical Social Worker
078211NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194923680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NEWARK AVE STE 506",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NEWARK AVE STE 506",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025873",
            "telephone_number": "609-516-4253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Grove St Ste 221",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073025923",
            "country_code": "US",
            "telephone_number": "609-516-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100169196",
            "country_code": "US",
            "telephone_number": "212-562-1123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 Grove St Ste 221",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073025923",
            "country_code": "US",
            "telephone_number": "609-516-4253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHINDEWOLF",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078211",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05535100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.