Individual provider Active NPI

Jared Levine, L.C.S.W.

  • Clinical Social Worker
  • Swedesboro, NJ
National Provider Identifier
1386039030
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05593200 Issued in NJ
Practice address
16 Bayberry Way
Swedesboro, NJ 08085-3195
Phone
(732) 216-3959
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 44SC05593200 NJ Primary

Addresses

Primary practice location

16 Bayberry Way
Swedesboro, NJ 08085-3195

Mailing address

16 Bayberry Way
Swedesboro, NJ 08085-3195
Phone (732) 216-3959

Other names 1

  • Mr. Jared Levine Professional name

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
I20150625000118 NJ Practitioner - Clinical Social Worker 6204147796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Better Tomorrow Counseling ServicesGroup PAC ID 6709191059, 18 clinicians

Practice addresses (Care Compare)

16 Bayberry Way
Swedesboro, NJ 08085-3195
Phone (732) 216-3959

901 Route 168 103
Turnersville, NJ 08012-3200
Phone (856) 266-4983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Tomorrow Counseling Services CurrentSince May 1, 2018 Accepting new patients
Path Toward Recovery, LLC Clinical CurrentSince Jun 28, 2023 Accepting new patients

Locations

901 Route 168
Ste 103
Turnersville, NJ 08012
Phone (856) 266-4983

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1386039030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BAYBERRY WAY",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853195",
            "telephone_number": "732-216-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BAYBERRY WAY",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853195",
            "telephone_number": "732-216-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JARED",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05593200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARED",
            "last_name": "LEVINE",
            "prefix": "MR.",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Swedesboro, NJ

Sources for this page

Verify at the official NPI Registry.