Individual provider Active NPI

Jayne Spengler, LCSW, LCADC

  • Clinical Social Worker
  • Somerset, NJ
National Provider Identifier
1689994725
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SCO5611500 Issued in NJ
Practice address
3 Clyde Rd Ste 202
Somerset, NJ 08873-3474
Phone
(908) 947-6136
NPI assigned
Jun 10, 2010
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 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 44SCO5611500 NJ Primary

Addresses

Primary practice location

3 Clyde Rd Ste 202
Somerset, NJ 08873-3474

Mailing address

3 Clyde Rd Ste 202
Somerset, NJ 08873-3474
Phone (908) 947-6136

Other identifiers 4

IdentifierTypeStateIssuer
47-2771193OtherNJTAX ID
527486OtherNJAGENCY MEDICARE PROVIDER #
P01705806OtherNJRAILROAD MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
0023701OtherNJAGENCY MEDICAID PROVIDER #

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
I20151221000080 NJ Practitioner - Clinical Social Worker 8729389556 Practice locations: Berkeley Heights, NJ; Bound Brook, NJ; Somerset, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3 Clyde Rd
Suite 202
Somerset, NJ 08873-3474
Phone (908) 947-6136

59 W Union Ave
Bound Brook, NJ 08805-1715
Phone (908) 947-6136

654 Springfield Ave
Suite 2
Berkeley Heights, NJ 07922-1078
Phone (908) 947-6136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SCO5611500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Expressions Behavioral Health Services Addiction (Substance Use Disorder) Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1689994725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CLYDE RD STE 202",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733474",
            "telephone_number": "908-947-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CLYDE RD STE 202",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733474",
            "telephone_number": "908-947-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENGLER",
        "first_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SCO5611500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "47-2771193",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICARE PROVIDER #",
            "identifier": "527486",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "P01705806",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID PROVIDER #",
            "identifier": "0023701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.