Individual provider Active NPI

Jaclyn A Bsales, LCSW

  • Clinical Social Worker
  • Totowa, NJ
National Provider Identifier
1679224281
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06059600 Issued in NJ
Practice address
545 US Highway 46 Ste 4
Totowa, NJ 07512-1731
Phone
(862) 703-0893
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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 44SC06059600 NJ Primary

Addresses

Primary practice location

545 US Highway 46 Ste 4
Totowa, NJ 07512-1731

Mailing address

116 Hillcrest Dr
Wayne, NJ 07470-5630
Phone (862) 703-0893

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Counseling LLC Clinical CurrentSince Oct 1, 2022 Accepting new patients

Locations

545 US Highway 46
Ste 4
Totowa, NJ 07512
Phone (862) 703-0893

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1679224281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HILLCREST DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705630",
            "telephone_number": "862-703-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 US HIGHWAY 46 STE 4",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121731",
            "telephone_number": "862-703-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BSALES",
        "first_name": "JACLYN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06059600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.