Individual provider Active NPI

Jessica E. Disipio, LSW

  • Social Worker
  • Lumberton, NJ
National Provider Identifier
1659950301
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06536600 Issued in NJ
Practice address
668 Main St
Lumberton, NJ 08048-5016
Phone
(609) 534-5014
Fax
(609) 667-7944
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06536600 NJ Primary

Addresses

Primary practice location

668 Main St
Lumberton, NJ 08048-5016

Mailing address

668 Main St
Lumberton, NJ 08048-5016
Phone (609) 535-5748

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06536600NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1659950301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 MAIN ST",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485016",
            "telephone_number": "609-535-5748",
            "fax_number": "609-667-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 MAIN ST",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485016",
            "telephone_number": "609-534-5014",
            "fax_number": "609-667-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISIPIO",
        "first_name": "JESSICA",
        "middle_name": "E.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06536600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.