Jacqueline Canovan, LCSW
Individual provider Active NPI Social Worker · Iselin, NJ
NPI 1336394253 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1336394253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 075449 (NY)
- Practice address
- 1404 Oak Tree Rd Ste 4
Iselin, NJ 08830-1674 - Phone
- (732) 765-2660
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rise Up Therapy and Counseling LLC
Practice addresses (Care Compare)
9 S Main St
Marlboro, NJ 07746-1539
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170614002735 | NY | Practitioner - Clinical Social Worker | 5799053740 | Reassigns benefits to 3 organizations |
| I20230713001704 | NJ | Practitioner - Clinical Social Worker | 5799053740 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075449 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NYU Langone Hospitals | Current |
Accepting new patients | |
| NYU Langone Hospitals | Current | Accepting new patients | |
| NYU Langone Hospitals | Current |
Accepting new patients | |
| Next Chapter Therapy | Current |
Accepting new patients | |
| Rise Up Therapy and Counseling LLC | Current |
Accepting new patients | |
| Premier Mental & Behavioral Services, Inc | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Current |
Accepting new patients | |
| Premier Mental & Behavioral Services, Inc | Current |
Accepting new patients | |
| Premier Mental & Behavioral Services, Inc. | Past |
Accepting new patients |
Locations
25 Commerce Dr
Ste 210
Cranford, NJ 07016
Phone (908) 905-3444
615 Hope Rd
Bldg 3B
Eatontown, NJ 07724
Phone (732) 724-1234
615 Hope Rd
Ste 3B
Eatontown, NJ 07724
Phone (732) 724-1234
1404 Oak Tree Rd
Ste 4
Iselin, NJ 08830
Phone (732) 702-1420
9 S Main St
Ste 2A
Marlboro, NJ 07746
Phone (732) 977-8799
9 S Main St
Ste Ab
Marlboro, NJ 07746
Phone (201) 677-5801
1000 State Route 34
Ste 301
Matawan, NJ 07747
Phone (732) 765-2660
57 S Main St
Neptune, NJ 07753
Phone (732) 430-9275
514 49th St
Brooklyn, NY 11220
Phone (718) 431-2600
301 E 17th St
New York, NY 10003
Phone (212) 460-0125
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 075449 | NY | Yes |
Addresses
Primary practice location
1404 Oak Tree Rd Ste 4
Iselin, NJ 08830-1674
Mailing address
1404 Oak Tree Rd Ste 4
Iselin, NJ 08830-1674
Phone (732) 765-2660
Other names
- Jacqueline Canovan
Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.