Terry Leslie Jensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00847000 Issued in NJ

Practice address

931 W Park Ave
Ocean, NJ 07712-7207

Phone

(732) 493-8080

Fax

(732) 490-8810

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindcare Therapeutics LLCGroup PAC ID 6305332438, 5 clinicians

Elder Life Management LLCGroup PAC ID 1153317508, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elder Life Management LLC

  • Clinical Social Worker
  • Tinton Falls, NJ
  • NPI 1891881280
  Medicare reassignment Care Compare group NPD
• Mindcare Therapeutics LLC

  • Clinical Social Worker
  • Jackson, NJ
  • NPI 1891660866
  Medicare reassignment Care Compare group NPD
• Premier Care LLC Dba Elder Life Home Care LLC

  • Home Health Agency
  • Tinton Falls, NJ
  • NPI 1548769326
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659466795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EUGENE DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459015",
            "telephone_number": "732-493-8080",
            "fax_number": "732-493-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 W PARK AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127207",
            "telephone_number": "732-493-8080",
            "fax_number": "732-490-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TERRY",
        "middle_name": "LESLIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00847000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Jaffe, PHARM D
• Jai Shri Ganesh LLC
• Kevin Otis James, LPTA
• Deanna Alexis Jasinski, PA-C
• Jennifer Robertson, LLC
• Matthew Jepson
• Jersey Shore Cardiothoracic and Vascular Surgery Associates PA
• Jersey Shore Endodontics
• Shruti V Jhaveri, PA-C
• Joan Edelsberg LCSW and Associates LLC

• Clinical Social Worker in Ocean, NJ
• Providers in Ocean, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.