Individual provider Active NPI

Caren E Jacobs, LCSW

  • Clinical Social Worker
  • Pompton Lakes, NJ
National Provider Identifier
1659677730
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00358200 Issued in NJ
Practice address
400 Ramapo Ave
Pompton Lakes, NJ 07442-1825
Phone
(973) 858-8163
Fax
(862) 666-1074
NPI assigned
Feb 7, 2011
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 44SC00358200 NJ Primary

Addresses

Primary practice location

400 Ramapo Ave
Pompton Lakes, NJ 07442-1825

Mailing address

PO Box 493
Pompton Lakes, NJ 07442-0493
Phone (976) 858-8163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110613000386 NJ Practitioner - Clinical Social Worker 5496932881 Reassigns benefits to 1 organization
I20220808000088 NY Practitioner - Clinical Social Worker 5496932881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bring HopeGroup PAC ID 7214343060, 3 clinicians

Practice addresses (Care Compare)

300 1St Ave
Apt 6G
New York, NY 10009-1843
Phone (973) 858-8163

400 Ramapo Ave
Pompton Lakes, NJ 07442-1825
Phone 97385881631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075365NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four Directions Wellness Inc. Current Accepting new patients
Bring Hope CurrentSince Jul 1, 2022 Accepting new patients
Advance Housing, Inc. PastSince Apr 1, 2021 Accepting new patients
Advance Housing, Inc. PastSince Apr 25, 2021 Accepting new patients

Locations

123 Wanaque Ave
Pompton Lakes, NJ 07442
Phone (973) 858-8163

400 Ramapo Ave
Pompton Lakes, NJ 07442
Phone (973) 858-8163

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1659677730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074420493",
            "telephone_number": "976-858-8163",
            "fax_number": "862-666-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RAMAPO AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421825",
            "telephone_number": "973-858-8163",
            "fax_number": "862-666-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CAREN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00358200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

Verify at the official NPI Registry.