Jackie McLoughlin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05180400 Issued in NJ

Practice address

136 Broadway
Suite # 2
Woodcliff Lake, NJ 07677-8078

Phone

(201) 391-4492

Fax

(201) 391-1504

NPI assigned

Mar 7, 2014

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 Y. McLoughlin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1366868960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BROADWAY",
            "address_2": "SUITE # 2",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778078",
            "telephone_number": "201-391-4492",
            "fax_number": "201-391-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BROADWAY",
            "address_2": "SUITE # 2",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778078",
            "telephone_number": "201-391-4492",
            "fax_number": "201-391-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLOUGHLIN",
        "first_name": "JACKIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05180400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MCLOUGHLIN",
            "middle_name": "Y.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinical Social Worker in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.