Individual provider Active NPI

Jessica Glassman, LCSW

  • Clinical Social Worker
  • Piscataway, NJ
National Provider Identifier
1356885438
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06073000 Issued in NJ
Practice address
371 Hoes LN Ste 106
Piscataway, NJ 08854-4143
Phone
(732) 982-2888
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06073000 NJ Primary
Social Worker 104100000X 079350 NY

Addresses

Primary practice location

371 Hoes LN Ste 106
Piscataway, NJ 08854-4143

Mailing address

240 E 69TH St
New York, NY 10021-5705
Phone (718) 612-0262

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201021001117 NY Practitioner - Clinical Social Worker 5597185116 Reassigns benefits to 2 organizations
I20231003003281 NJ Practitioner - Clinical Social Worker 5597185116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

371 Hoes LN
Suite 106
Piscataway, NJ 08854-4102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06073000NJMDClinical Social Worker
089969NYMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Behavioral Health P.C CurrentSince May 31, 2023 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 15, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 15, 2022 Accepting new patients
Uzar PC CurrentSince Jan 20, 2025 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Locations

150 Morristown Rd
Ste 108
Bernardsville, NJ 07924
Phone (844) 259-2366

200 Sheffield St
Ste 214
Mountainside, NJ 07092
Phone (201) 927-3891

371 Hoes Ln
Ste 106
Piscataway, NJ 08854
Phone (862) 206-9101

1400 Hooper Ave
Ste 2
Toms River, NJ 08753
Phone (732) 339-3398

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-4900

156 William St
New York, NY 10038
Phone (646) 962-4679

240 E 69th St
New York, NY 10021
Phone (212) 472-1717

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1356885438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215705",
            "telephone_number": "718-612-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 HOES LN STE 106",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544143",
            "telephone_number": "732-982-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06073000",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.