Individual provider Active NPI

Jenica Aleyna Siniscalco, LCSW

  • Clinical Social Worker
  • Glen Rock, NJ
National Provider Identifier
1245682483
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05683300 Issued in NJ
Practice address
875 Lincoln Ave Ste 1
Glen Rock, NJ 07452-3228
Phone
(201) 381-9935
NPI assigned
Jul 12, 2016
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 44SC05683300 NJ Primary

Addresses

Primary practice location

875 Lincoln Ave Ste 1
Glen Rock, NJ 07452-3228

Mailing address

875 Lincoln Ave Ste 1
Glen Rock, NJ 07452-3228
Phone (201) 381-9935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 24, 2024 through Jun 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05683300NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1245682483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 LINCOLN AVE STE 1",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523228",
            "telephone_number": "201-381-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 LINCOLN AVE STE 1",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523228",
            "telephone_number": "201-381-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINISCALCO",
        "first_name": "JENICA",
        "middle_name": "ALEYNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05683300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.