Jessica Wolven

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06743500 Issued in NJ

Practice address

425 Amwell Rd Ste 1
Hillsborough, NJ 08844-1213

Phone

(908) 770-7352

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Rutgers New Jersey Medical School, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MKF Counseling

  • Clinical Social Worker
  • Hillsborough, NJ
  • NPI 1215587761
  Medicare reassignment NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1225794787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 AMWELL RD STE 1",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 AMWELL RD STE 1",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441213",
            "telephone_number": "908-770-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVEN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06743500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Willard, M.S. OTR/L
• William J Prinsket OD PA (Primary Eyecare)
• Emily Isabelle Williams
• Wilshire LLC
• Laurene Alyse Wolf, DMD, MSD
• Nicholas Robert Wright
• Lauren Wu, O.D.
• Priyanka Singh Yadav, D.O.
• Kara Yi
• Charmion Young, RN

• Social Worker in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.