Active NPI
Jennifer Lynne Chaney, M.S.W LCSW
- Clinical Social Worker
- Shrewsbury, NJ
National Provider Identifier
1215964879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05310300
- Practice address
- 703 Broad Street
Suite a 201
Shrewsbury, NJ 07702-4219 - Phone
- (732) 796-4609
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05310300 | NJ | Primary |
Addresses
Primary practice location
703 Broad Street
Suite a 201
Shrewsbury, NJ 07702-4219
Mailing address
703 Broad Street
Suite a 201
Shrewsbury, NJ 07702-4219
Phone (732) 796-4609
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408455 | Other | RI | BLUE CHIP |
| 30155-6 | Other | RI | BLUE CROSS |
| JC31799 | Medicaid | RI | |
| 62-94822 | Other | RI | UNITED BEHAVIORAL HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05310300 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1215964879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 BROAD STREET",
"address_2": "SUITE A 201",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024219",
"telephone_number": "732-796-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 BROAD STREET",
"address_2": "SUITE A 201",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024219",
"telephone_number": "732-796-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "M.S.W LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2024-11-11",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05310300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "408455",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30155-6",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JC31799",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-94822",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.