Individual provider Active NPI

Jenna Cotton

  • Clinical Social Worker
  • Moorestown, NJ
National Provider Identifier
1467990606
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019362 Issued in PA
Practice address
770 Marne Hwy Ste 2D
Moorestown, NJ 08057-3081
Phone
(609) 201-1001
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 CW019362 PA Primary

Addresses

Primary practice location

770 Marne Hwy Ste 2D
Moorestown, NJ 08057-3081

Mailing address

770 Marne Hwy Ste 2D
Moorestown, NJ 08057-3081
Phone (609) 201-1001

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

State licenses

LicenseStateTypeSpecialty
CW019362PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jenna Cotton, LCSW LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

770 Marne Hwy
Ste 2D
Moorestown, NJ 08057
Phone (609) 201-1001

525 S 4th St
Ste 240D
Philadelphia, PA 19147

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1467990606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MARNE HWY STE 2D",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573081",
            "telephone_number": "609-201-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MARNE HWY STE 2D",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573081",
            "telephone_number": "609-201-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTON",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-12-06",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.