Active NPI
Jeffrey Thoelen
- Clinical Social Worker
- Flanders, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05964000
- Practice address
- 16 Ledgewood Rd
Flanders, NJ 07836-9428 - Phone
- (973) 229-4976
- NPI assigned
- Mar 29, 2021
- Last updated
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05964000 | NJ | Primary |
Addresses
Primary practice location
16 Ledgewood Rd
Flanders, NJ 07836-9428
Mailing address
16 Ledgewood Rd
Flanders, NJ 07836-9428
Phone (973) 229-4976
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 Front St
Suite 300
Jupiter, FL 33477-5095
16 Ledgewood Rd
Flanders, NJ 07836-9428
425 E 58TH St
Suite 41F
New York, NY 10022-2379
505 Main St
Toms River, NJ 08753-7443
5838 Edison PL
Suite 100
Carlsbad, CA 92008-5520
66 E Flagler St
Miami, FL 33130-1807
85 Crescent Ave
Passaic, NJ 07055-2437
94 Wanaque Ave
Pompton Lake, NJ 07442-2075
9901 Brodie Lane
Suite 160 1077
Austin, TX 78748-5892
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05964000 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Living Behavioral Health LCSW PLLC | Clinical | Current | Accepting new patients |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Senior Care Therapy LLC | Clinical | Current | Accepting new patients |
| Talkspace Behavioral Health Services NJ, PC | Current | Accepting new patients | |
| Lifebulb LLC | Current | Accepting new patients | |
| Grow Healthcare Group of New Jersey PC | Clinical | Current | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
505 Main St
Toms River, NJ 08753
Phone (732) 272-0127
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
Organizations & group practices 8
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.
-
- Mental Health Counselor
- Toms River, NJ
- NPI 1699491464
-
- Clinical Psychologist
- Passaic, NJ
- NPI 1285898098
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1346020112
NJ
-
- Clinical Psychologist
- Paramus, NJ
- NPI 1447289376
-
- Clinical Social Worker
- Flanders, NJ
- NPI 1396496774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1508444977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LEDGEWOOD RD",
"city": "FLANDERS",
"state": "NJ",
"postal_code": "078369428",
"telephone_number": "973-229-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 LEDGEWOOD RD",
"city": "FLANDERS",
"state": "NJ",
"postal_code": "078369428",
"telephone_number": "973-229-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOELEN",
"first_name": "JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05964000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flanders, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.