Individual provider Active NPI

Evelyn Jean Jeffrey, LCSW

  • Clinical Social Worker
  • Gibbsboro, NJ
National Provider Identifier
1376745372
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
146 S Lakeview Dr Ste 202
Gibbsboro, NJ 08026-1018
Phone
(609) 669-0097
Fax
(856) 875-9608
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC00583200 NJ
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

146 S Lakeview Dr Ste 202
Gibbsboro, NJ 08026-1018

Mailing address

146 S Lakeview Dr Ste 202
Gibbsboro, NJ 08026-1018
Phone (609) 669-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251217003127 NJ Practitioner - Clinical Social Worker 3375038391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Behavioral Health LLCGroup PAC ID 2365838406, 5 clinicians

Practice addresses (Care Compare)

100 Horizon Ctr Blvd
Hamilton, NJ 08691-1910
Phone (609) 934-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00583200NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grandular Health Services LLC Mental Health CurrentSince Oct 3, 2025 Accepting new patients
Clarity Behavioral Health LLC CurrentSince Dec 22, 2025 Accepting new patients

Locations

146 S Lakeview Dr
Gibbsboro, NJ 08026
Phone (609) 669-0097

146 S Lakeview Dr
Ste 202
Gibbsboro, NJ 08026
Phone (609) 669-0097

100 Horizon Center Blvd
Trenton, NJ 08691
Phone (609) 401-0069

Organizations & group practices 2

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1376745372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S LAKEVIEW DR STE 202",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "609-669-0097",
            "fax_number": "856-875-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S LAKEVIEW DR STE 202",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "609-669-0097",
            "fax_number": "856-875-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "EVELYN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC00583200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

Verify at the official NPI Registry.