Individual provider Active NPI

Jessica Mangels

  • Clinical Social Worker
  • Montville, NJ
National Provider Identifier
1437683976
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05568500 Issued in NJ
Practice address
112 Main Rd Ste 6
Montville, NJ 07045-9777
Phone
(973) 794-6888
NPI assigned
Apr 11, 2017
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00241900 NJ
Clinical Social Worker 1041C0700X 44SC05568500 NJ Primary

Addresses

Primary practice location

112 Main Rd Ste 6
Montville, NJ 07045-9777

Mailing address

112 Main Rd Ste 6
Montville, NJ 07045-9777
Phone (973) 794-6888

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
I20180502000401 NJ Practitioner - Clinical Social Worker 6305100165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newbridge Services, IncGroup PAC ID 3072598978, 9 clinicians

Practice addresses (Care Compare)

1259 Route 46 E
BLDG 2 Suite 100a
Parsippany, NJ 07054-4913
Phone (973) 939-2470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00241900NJMDAddiction (Substance Use Disorder) Counselor
44SC05568500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Well Being Therapy Center LLC Past Accepting new patients
Well Being Therapy Center LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1437683976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAIN RD STE 6",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459777",
            "telephone_number": "973-794-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN RD STE 6",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459777",
            "telephone_number": "973-794-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGELS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00241900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05568500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.