Individual provider Active NPI

Jackeline Ortiz

  • Clinical Social Worker
  • Branchburg, NJ
National Provider Identifier
1205679479
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06318100 Issued in NJ
Practice address
971 US Highway 202 N Ste 6109
Branchburg, NJ 08876-3757
Phone
(856) 898-9909
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 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 44SC06318100 NJ Primary

Addresses

Primary practice location

971 US Highway 202 N Ste 6109
Branchburg, NJ 08876-3757

Mailing address

971 US Highway 202 N Ste 6109
Branchburg, NJ 08876-3757
Phone (856) 898-9909

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
44SC06318100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roots and Rising Counseling Clinical Current Accepting new patients

Locations

971 US Highway 202 N
Ste 6109
Branchburg, NJ 08876
Phone (856) 898-9909

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1205679479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE 6109",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "856-898-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE 6109",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "856-898-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JACKELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06318100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.