Individual provider Active NPI

Jenifer L Yawger, LCSW

  • Clinical Social Worker
  • Rockaway, NJ
National Provider Identifier
1497411656
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05533500 Issued in NJ
Practice address
86 Omaha Ave
Rockaway, NJ 07866-1514
Phone
(908) 295-6751
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 44SC05533500 NJ Primary

Addresses

Primary practice location

86 Omaha Ave
Rockaway, NJ 07866-1514

Mailing address

86 Omaha Ave
Rockaway, NJ 07866-1514
Phone (908) 295-6751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230608001202 NJ Practitioner - Clinical Social Worker 6406213305 Reassigns benefits to 2 organizations
I20240311003376 NH Practitioner - Clinical Social Worker 6406213305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Behavioral Health, Inc. CurrentSince Apr 25, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Feb 28, 2025 Accepting new patients
Atlanticare Behavioral Health, Inc CurrentSince Apr 25, 2023 Accepting new patients
Nurturing Hearts and Minds Therapy Clinical CurrentSince May 4, 2025 Accepting new patients
Elliot Professional Services Past Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Locations

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

6010 Black Horse Pike
Egg Hbr Twp, NJ 08234
Phone (609) 272-0909

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

Organizations & group practices 6

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": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1497411656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 OMAHA AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661514",
            "telephone_number": "908-295-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 OMAHA AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661514",
            "telephone_number": "908-295-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAWGER",
        "first_name": "JENIFER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05533500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

Verify at the official NPI Registry.