Individual provider Active NPI

Jeanne Sharon Lankin, MSW

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1215128574
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05012800 Issued in NJ
Practice address
139 N 6TH Ave
Highland Park, NJ 08904-2937
Phone
(732) 777-0292
Fax
(732) 777-0292
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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 44SC05012800 NJ Primary

Addresses

Primary practice location

139 N 6TH Ave
Highland Park, NJ 08904-2937

Mailing address

139 N 6TH Ave
Highland Park, NJ 08904-2937
Phone (732) 777-0292

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
I20050405000320 NJ Practitioner - Clinical Social Worker 0345297081 Practice locations: South Orange, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

280 N Western Dr
South Orange, NJ 07079-1448
Phone (908) 432-3755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1215128574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N 6TH AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042937",
            "telephone_number": "732-777-0292",
            "fax_number": "732-777-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N 6TH AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042937",
            "telephone_number": "732-777-0292",
            "fax_number": "732-777-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKIN",
        "first_name": "JEANNE",
        "middle_name": "SHARON",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05012800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.