Jennifer Lynn Perera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05720200 Issued in NJ

Practice address

499 Morris Ave
Springfield, NJ 07081-1005

Phone

(973) 337-0586

NPI assigned

Jan 19, 2011

Last updated

Aug 30, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

• Interval Health LLC

  • Clinical Social Worker
  • Cranford, NJ
  • NPI 1174013262
  NPD Authorized official
• Psychfocus Consulting LLC

  • Clinical Social Worker
  • Marlton, NJ
  • NPI 1629568449
  NPD Authorized official

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1326343609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079020014",
            "telephone_number": "973-337-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811005",
            "telephone_number": "973-337-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05720200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinkalben N Patel, PHARMD
• Reshma N Patel
• Pearle Vision Inc (Pearle Vision #C6216)
• Pearly Smiles Family Dentistry
• Orest V Pelechaty, CA
• Grace Annmarie Petinakis, MS, OTR/L
• Michael Roman Petronko
• Stephanie Pierre-Pierre, PA
• David Gary Pilchman, PH.D.
• Frederick Pine, D.C.

• Clinical Social Worker in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.