Active NPI
Jessie Andre, PHD
- Social Worker
- Cherry Hill, NJ
National Provider Identifier
1417534884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06607100
- Practice address
- 1974 Birchwood Park Dr N
Cherry Hill, NJ 08003-1028 - Phone
- (267) 666-0539
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW136635 | PA | |
| Social Worker | 104100000X | 44SL06607100 | NJ | Primary |
Addresses
Primary practice location
1974 Birchwood Park Dr N
Cherry Hill, NJ 08003-1028
Mailing address
1974 Birchwood Park Dr N
Cherry Hill, NJ 08003-1028
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06607100 | NJ | MD | Social Worker |
| SW136635 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1417534884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1974 BIRCHWOOD PARK DR N",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1974 BIRCHWOOD PARK DR N",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031028",
"telephone_number": "267-666-0539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRE",
"first_name": "JESSIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW136635",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06607100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.