Jennifer Bristol, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05887500 Issued in NJ

Practice address

151 Ocean Ave
North Middletown, NJ 07748-5656

Phone

(201) 449-4687

NPI assigned

Nov 5, 2019

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

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Embracing Stages

  • Clinical Social Worker
  • North Middletown, NJ
  • NPI 1144867276
  Medicare reassignment NPD Authorized official
• Ritu Suri MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tenafly, NJ
  • NPI 1972656353
  Medicare reassignment NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1437793114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 OCEAN AVE",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485656",
            "telephone_number": "201-449-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 OCEAN AVE",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485656",
            "telephone_number": "201-449-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05887500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deniz Armagan, DPT
• Dorothy Helen Belus, RPH
• Timothy Robert Belus, PHARMD
• Blueharbor Psychiatric Care LLC
• Christina Marie Cheselka, RT
• Cassy Craig, PT, DPT, ATC
• Nancy Ann Csontos, LCSW
• Embracing Stages
• Paul Howard Ettinger, BCBA

• Clinical Social Worker in North Middletown, NJ
• Providers in North Middletown, 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 Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.