Individual provider Active NPI

Jessica Jasmine Robinson, LCSW

  • Clinical Social Worker
  • Springfield, NJ
National Provider Identifier
1366031304
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05804800 Issued in NJ
Practice address
212 Short Hills Ave Ste 101
Springfield, NJ 07081-1040
Phone
(862) 222-6725
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05804800 NJ Primary

Addresses

Primary practice location

212 Short Hills Ave Ste 101
Springfield, NJ 07081-1040

Mailing address

212 Short Hills Ave Ste 101
Springfield, NJ 07081-1040
Phone (862) 222-6725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 24, 2023 through May 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05804800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Counseling and Consulting Clinical Past Accepting new patients

Organizations & group practices 1

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1366031304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SHORT HILLS AVE STE 101",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811040",
            "telephone_number": "862-222-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SHORT HILLS AVE STE 101",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811040",
            "telephone_number": "862-222-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JESSICA",
        "middle_name": "JASMINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05804800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.