Individual provider Active NPI

Jessica Fleischer, LCSW

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1437530482
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05637000 Issued in NJ
Practice address
1 Pike Dr
Wayne, NJ 07470-2443
Phone
(973) 595-0111
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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 44SC05637000 NJ Primary

Addresses

Primary practice location

1 Pike Dr
Wayne, NJ 07470-2443

Mailing address

1 Pike Dr
Wayne, NJ 07470-2443
Phone (973) 595-0111

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
I20150722005459 NJ Practitioner - Clinical Social Worker 5294048062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1485 Teaneck Rd
Teaneck, NJ 07666-3626
Phone (201) 837-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Services of Northern New Jersey, Inc. Clinical CurrentSince Mar 1, 2016 Accepting new patients

Locations

17-10 River Rd
Fair Lawn, NJ 07410
Phone (201) 796-5151

1485 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 837-9090

1 Pike Dr
Wayne, NJ 07470
Phone (315) 889-1690

Organizations & group practices 1

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1437530482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PIKE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702443",
            "telephone_number": "973-595-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PIKE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702443",
            "telephone_number": "973-595-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHER",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05637000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.