Individual provider Active NPI

Jamie Lynn Cerelli, LCSW

  • Social Worker
  • Ho Ho Kus, NJ
National Provider Identifier
1265556682
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL053887000 Issued in NJ
Practice address
10 Sycamore Ave
Suite 2B
Ho Ho Kus, NJ 07423-1587
Phone
(201) 477-8029
NPI assigned
Mar 19, 2007
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL053887000 NJ Primary

Addresses

Primary practice location

10 Sycamore Ave
Suite 2B
Ho Ho Kus, NJ 07423-1587

Mailing address

163 Manchester Rd
River Edge, NJ 07661-1220
Phone (551) 486-2384

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
44SL053887000NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1265556682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 MANCHESTER RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611220",
            "telephone_number": "551-486-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SYCAMORE AVE",
            "address_2": "SUITE 2B",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231587",
            "telephone_number": "201-477-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERELLI",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL053887000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.