Jacqueline Canovan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

075449 Issued in NY

Practice address

1404 Oak Tree Rd Ste 4
Iselin, NJ 08830-1674

Phone

(732) 765-2660

NPI assigned

Nov 19, 2008

Last updated

Sep 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Canovan Former name

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

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 LLCGroup PAC ID 0446783443, 4 clinicians

Practice addresses (Care Compare)

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.

• Next Chapter Therapy

  • Clinical Social Worker
  • Matawan, NJ
  • NPI 1609740794
  Medicare reassignment NPD Authorized official
• Rise Up Therapy and Counseling LLC

  dba Rise Up Counseling

  • Group Psychotherapy Psychologist
  • Marlboro, NJ
  • NPI 1568202737
  Medicare reassignment Care Compare group NPD
• Premier Mental & Behavioral Services, Inc

  dba Positive Reset Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eatontown, NJ
  • NPI 1114599305
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY

  Medicare reassignment NPD
• NYU Langone Hospitals

  • Internal Medicine Physician
  • New York, NY
  • NPI 1790975944
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  NY

  Medicare reassignment
• Premier Mental & Behavioral Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brick, NJ
  • NPI 1649958372
  NPD
• NYU Langone Hospitals

  dba NYU Langone Hospital - Suffolk

  • Psychiatric Hospital Unit
  • Patchogue, NY
  • NPI 1508687021
  NPD
• NYU Langone Hospitals

  dba NYU Lutheran Family Health Center Quality Care Group

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1831549559
  NPD
• Premier Mental & Behavioral Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cranford, NJ
  • NPI 1801635917
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1336394253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 OAK TREE RD STE 4",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088301674",
            "telephone_number": "732-765-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 OAK TREE RD STE 4",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088301674",
            "telephone_number": "732-765-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOVAN",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CANOVAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brett Dinovi and Associates
• Alison Brown, RD
• Bruce Kastner, OD
• C V Imaging Services (C V I S)
• Doreen Canetti, RD
• Cardiac One LLC
• Cardiology Consultants of Woodbridge,LLC
• Careplus Home Care LLC
• Kristina Caroselli
• Cecelia Anna Caserta, AU.D.

• Social Worker in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.