Jennine M Lacorte, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05288900 Issued in NJ

Practice address

3 Overlook Ave
Emerson, NJ 07630-1017

Phone

(201) 919-6394

NPI assigned

Jul 25, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennine M Russo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1598446478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OVERLOOK AVE",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301017",
            "telephone_number": "201-919-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OVERLOOK AVE",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301017",
            "telephone_number": "201-919-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACORTE",
        "first_name": "JENNINE",
        "middle_name": "M",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05288900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNINE",
            "last_name": "RUSSO",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey S. Kim, M.D.
• Seah Kim, L.AC , R.D.
• Sandeep Kour, MD
• Claudia Koziol
• Juliana F Lacey, LPC
• Vivian E Lan, MD
• Harmony Leighton-Seiffer, DO
• Jonathan Lester, MD
• Levelup MD Urgent Care NJ LLC
• Lester Levine, M.D.

• Clinical Social Worker in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.