Individual provider Active NPI

Jacqueline Crocker, LCSW

  • Clinical Social Worker
  • Short Hills, NJ
National Provider Identifier
1538547948
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05758500 Issued in NJ
Practice address
514 Millburn Ave # 2009
Short Hills, NJ 07078-2508
Phone
(848) 999-4244
NPI assigned
May 18, 2015
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 44SC05758500 NJ Primary

Addresses

Primary practice location

514 Millburn Ave # 2009
Short Hills, NJ 07078-2508

Mailing address

514 Millburn Ave # 2009
Short Hills, NJ 07078-2508
Phone (908) 460-8003

Other practice location 1

A1 Brier Hill Ct
East Brunswick, NJ 08816-3309
Phone (732) 453-4265

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
44SC05758500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mandala Integrative Therapy and Professional Development Clinical CurrentSince Jul 9, 2025 Accepting new patients
One Step at a Time Therapy Center, LLC Clinical CurrentSince Mar 1, 2021 Accepting new patients

Locations

6 Cornwall Ct
Ste F
East Brunswick, NJ 08816
Phone (732) 210-2444

A1 Brier Hill Ct
East Brunswick, NJ 08816
Phone (732) 390-6694

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1538547948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 MILLBURN AVE # 2009",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782508",
            "telephone_number": "908-460-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 MILLBURN AVE # 2009",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782508",
            "telephone_number": "848-999-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "A1 Brier Hill Ct",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088163309",
            "country_code": "US",
            "telephone_number": "732-453-4265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05758500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.