Individual provider Active NPI

Jessica L. Tsougranis, LCSW

  • Clinical Social Worker
  • Woodcliff Lake, NJ
National Provider Identifier
1609357656
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05784400 Issued in NJ
Practice address
595 Chestnut Ridge Rd Ste 4
Woodcliff Lake, NJ 07677-7667
Phone
(551) 368-0307
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 44SC05784400 NJ Primary

Addresses

Primary practice location

595 Chestnut Ridge Rd Ste 4
Woodcliff Lake, NJ 07677-7667

Mailing address

595 Chestnut Ridge Rd Ste 41
Woodcliff Lake, NJ 07677-7663
Phone (551) 368-0307

Other practice location 1

112 E Grand Ave
Montvale, NJ 07645-2405
Phone (845) 694-9929

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015001967 NJ Practitioner - Clinical Social Worker 1456603711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 E Salem St
Hackensack, NJ 07601-7427

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930

9 King Rd
Park Ridge, NJ 07656-2222

Care Plus NJ in
610 Valley Health Plaza
Paramus, NJ 07652-3607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05784400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Healthcare, Inc. Clinical CurrentSince Aug 22, 2018 Accepting new patients
Doppler Psychology Services PC CurrentSince Sep 1, 2025 Accepting new patients
Comprehensive Behavioral Healthcare, Inc. Clinical PastSince Aug 22, 2018 Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients

Locations

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

Organizations & group practices 4

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1609357656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD STE 41",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777663",
            "telephone_number": "551-368-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD STE 4",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777667",
            "telephone_number": "551-368-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076452405",
            "country_code": "US",
            "telephone_number": "845-694-9929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSOUGRANIS",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05784400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

Verify at the official NPI Registry.