Jaclyn Marie Pasquarelli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05353300 Issued in NJ

Practice address

786 Mountain Blvd
Suite 104
Watchung, NJ 07069-6268

Phone

(908) 322-9623

Fax

(908) 322-8703

NPI assigned

Mar 3, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Calm and Sense - Watchung

  • Mental Health Counselor
  • Watchung, NJ
  • NPI 1730508938
  NPD (past)

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1396985453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD",
            "address_2": "SUITE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268",
            "telephone_number": "908-322-9623",
            "fax_number": "908-322-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD",
            "address_2": "SUITE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268",
            "telephone_number": "908-322-9623",
            "fax_number": "908-322-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUARELLI",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05353300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Oldman, EDD
• Veronica C. Ortiz, LAC
• Our House, Inc.
• Jennifer Lara Pacht-Goodman, CMT-MA
• Koteswararao Panuganti
• Marcy Anne Pasternak, PH.D.
• Ashwin P Patel
• Gunjan R Patel
• Hardh Patel, PTA
• Pragnesh Patel, PHARM D

• Clinical Social Worker in Watchung, NJ
• Providers in Watchung, 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 Aug 7, 2013; 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.