Individual provider Active NPI

Lucille M Jengo, M.S.W.

  • Clinical Social Worker
  • Parsippany, NJ
National Provider Identifier
1669509444
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00006300 Issued in NJ
Practice address
3599 US Highway 46
Parsippany, NJ 07054-1015
Phone
(973) 263-8070
Fax
(973) 263-8666
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC00006300 NJ Primary

Addresses

Primary practice location

3599 US Highway 46
Parsippany, NJ 07054-1015

Mailing address

3599 US Highway 46
Parsippany, NJ 07054-1015
Phone (973) 263-8070

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050414000959 NJ Practitioner - Clinical Social Worker 5597702183 Reassigns benefits to 1 organization
Practice locations: Rockaway, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Mental Health Associates LLCGroup PAC ID 7012071384, 2 clinicians

Practice addresses (Care Compare)

3599 US Hwy 46
Parsippany, NJ 07054-1015
Phone (973) 263-8070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00006300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Associates LLC CurrentSince Sep 1, 2008 Accepting new patients

Locations

3599 US Highway 46
Parsippany, NJ 07054
Phone (973) 214-2709

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669509444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541015",
            "telephone_number": "973-263-8070",
            "fax_number": "973-263-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 US HIGHWAY 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541015",
            "telephone_number": "973-263-8070",
            "fax_number": "973-263-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENGO",
        "first_name": "LUCILLE",
        "middle_name": "M",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00006300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.