Individual provider Active NPI

Jadaysia Durant, LCSW

  • Clinical Social Worker
  • Hazlet, NJ
National Provider Identifier
1326557117
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06280900 Issued in NJ
Practice address
22 Village CT
Hazlet, NJ 07730-1532
Phone
(732) 639-0232
NPI assigned
Sep 25, 2017
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X 44SL06280900 NJ
Clinical Social Worker 1041C0700X 44SL06280900 NJ Primary

Addresses

Primary practice location

22 Village CT
Hazlet, NJ 07730-1532

Mailing address

14 Victoria Dr
Eatontown, NJ 07724-1234

Other practice location 1

166 Main St
Matawan, NJ 07747-3104
Phone (732) 290-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325001675 NJ Practitioner - Clinical Social Worker 5890102545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner Clarity CounselingGroup PAC ID 8022442078, 10 clinicians

Practice addresses (Care Compare)

Hazlet, NJ 07730
Phone (732) 639-0232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06280900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Clarity Counseling Clinical CurrentSince Oct 1, 2021 Accepting new patients
CPC Integrated Health, Inc. Current Accepting new patients
Inner Clarity LLC Clinical CurrentSince Aug 15, 2021 Accepting new patients
CPC Behavioral Healthcare, Inc CurrentSince Dec 22, 2020 Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

270 State Route 35
Red Bank, NJ 07701
Phone (732) 842-2000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1326557117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VICTORIA DR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301532",
            "telephone_number": "732-639-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Main St",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077473104",
            "country_code": "US",
            "telephone_number": "732-290-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURANT",
        "first_name": "JADAYSIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06280900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06280900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.