Organization Active NPI

Hazel Jamieson LLC

  • Clinical Social Worker
  • Pennington, NJ
National Provider Identifier
1629787403
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HAZEL JAMIESON LLC
Practice address
86 Woolsey CT
Pennington, NJ 08534-1428
Phone
(609) 690-3407
Fax
(844) 222-5671
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Ms. Hazel Wendy Jamieson, LCSW, LCADC, CSSNPI 1437498987
Title
Owner
Phone
(609) 690-3407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

86 Woolsey CT
Pennington, NJ 08534-1428

Mailing address

PO Box 392
Pennington, NJ 08534-0392
Phone (609) 737-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227000173 NJ Part B Supplier - Clinic/Group Practice 7911342217 Receives reassigned benefits from 1 practitioner
Practice locations: Pennington, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1629787403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085340392",
            "telephone_number": "609-737-1115",
            "fax_number": "609-730-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 WOOLSEY CT",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341428",
            "telephone_number": "609-690-3407",
            "fax_number": "844-222-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL JAMIESON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A",
        "authorized_official_last_name": "JAMIESON",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-690-3407",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LCADC, CSS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.