Individual provider Active NPI

Jamie Pagdonsolan, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1689332439
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05904700 Issued in NJ
Practice address
195 Maple Ave
Red Bank, NJ 07701-1726
Phone
(732) 749-2438
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 44SC05904700 NJ Primary

Addresses

Primary practice location

195 Maple Ave
Red Bank, NJ 07701-1726

Mailing address

195 Maple Ave
Red Bank, NJ 07701-1726
Phone (908) 405-2847

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
I20220421000778 NJ Practitioner - Clinical Social Worker 0648667642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digit LLCGroup PAC ID 4587151691, 4 clinicians

Practice addresses (Care Compare)

195 Maple Ave
Red Bank, NJ 07701-1726
Phone (732) 749-2438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05904700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Digit LLC CurrentSince Jul 30, 2025 Accepting new patients
Watchung Hills Regional High School District PastSince Dec 21, 2021 Accepting new patients

Locations

195 Maple Ave
Red Bank, NJ 07701
Phone (732) 749-2438

Organizations & group practices 2

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1689332439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011726",
            "telephone_number": "908-405-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011726",
            "telephone_number": "732-749-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGDONSOLAN",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05904700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.