Individual provider Active NPI

Jennifer Robertson, LSW

  • Marriage & Family Therapist
  • Brick, NJ
National Provider Identifier
1386604254
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37PC00306100 Issued in NJ
Practice address
74 Brick Blvd
Suite 117, Building 4
Brick, NJ 08723-7984
Phone
(732) 920-9050
Fax
(732) 920-9051
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37PC00306100 NJ Primary

Addresses

Primary practice location

74 Brick Blvd
Suite 117, Building 4
Brick, NJ 08723-7984

Mailing address

74 Brick Blvd
PO Box 1599
Brick, NJ 08723-7984
Phone (732) 920-9050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00306100NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386604254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD",
            "address_2": "PO BOX 1599",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-920-9050",
            "fax_number": "732-920-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD",
            "address_2": "SUITE 117, BUILDING 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-920-9050",
            "fax_number": "732-920-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JENNIFER",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37PC00306100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.