Individual provider Active NPI

Jean Metz, MSW

  • Clinical Social Worker
  • Delran, NJ
National Provider Identifier
1528103256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00763400 Issued in NJ
Practice address
950 Chester Ave
Delran, NJ 08075
Phone
(856) 824-0599
Fax
(856) 824-9340
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC00763400 NJ Primary

Addresses

Primary practice location

950 Chester Ave
Delran, NJ 08075

Mailing address

16 Mindy Dr
Moorestown, NJ 08057-3024
Phone (856) 824-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180103002051 MD Practitioner - Clinical Social Worker 6103184767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00763400NJMDClinical Social Worker
18721MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Behavioral Health & Wellness CurrentSince Oct 19, 2017 Accepting new patients

Locations

207 N Liberty St
Ste B
Centreville, MD 21617
Phone (410) 758-8750

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528103256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MINDY DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573024",
            "telephone_number": "856-824-0599",
            "fax_number": "856-824-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CHESTER AVE",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "08075",
            "telephone_number": "856-824-0599",
            "fax_number": "856-824-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00763400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

Verify at the official NPI Registry.