Active NPI
Jill McInerney
- Clinical Social Worker
- Manasquan, NJ
National Provider Identifier
1659828200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05885200
- Practice address
- 200 Atlantic Ave
Manasquan, NJ 08736-1352 - Phone
- (732) 292-0388
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05885200 | NJ | Primary |
Addresses
Primary practice location
200 Atlantic Ave
Manasquan, NJ 08736-1352
Mailing address
2106 Old Mill Road
Spring Lake Heights, NJ 07762
Phone (732) 685-9666
Other practice location 1
67 President St
Charleston, SC 29425-8908
Phone (843) 792-1508
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Shorepsychologyassociatesllc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05885200 | NJ | MD | Clinical Social Worker |
| 10007 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654300800000",
"number": "1659828200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 OLD MILL ROAD",
"city": "SPRING LAKE HEIGHTS",
"state": "NJ",
"postal_code": "07762",
"telephone_number": "732-685-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ATLANTIC AVE",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087361352",
"telephone_number": "732-292-0388"
}
],
"practiceLocations": [
{
"address_1": "67 President St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258908",
"country_code": "US",
"telephone_number": "843-792-1508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCINERNEY",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2022-06-04",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05885200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Shorepsychologyassociatesllc.com",
"affiliation": "N",
"address_1": "200 Atlantic Ave",
"city": "Manasquan",
"state": "NJ",
"country_code": "US",
"postal_code": "087361352",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.