Active NPI
Jill Donna Worrall, LSW
- Mental Health Counselor
- Denville, NJ
National Provider Identifier
1568058089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 44SL06267600
- Practice address
- 4 2ND Ave
Denville, NJ 07834-2758 - Phone
- (973) 263-0683
- NPI assigned
- Dec 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 44SL06267600 | NJ | Primary |
Addresses
Primary practice location
4 2ND Ave
Denville, NJ 07834-2758
Mailing address
18 Myers Ave
Denville, NJ 07834-2148
Phone (973) 223-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SL062667600 | Other | NJ | NJ BOARD OF SOCIAL WORK EXAMINERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Denville | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06267600 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1568058089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MYERS AVE",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342148",
"telephone_number": "973-223-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 2ND AVE",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078342758",
"telephone_number": "973-263-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORRALL",
"first_name": "JILL",
"middle_name": "DONNA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SL06267600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "44SL062667600",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Denville",
"affiliation": "N",
"endpointDescription": "Office",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Denville",
"address_1": "4 2nd Ave",
"city": "Denville",
"state": "NJ",
"country_code": "US",
"postal_code": "078342758",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.