Individual provider Active NPI

Jaclyn Fischer, MSW, LCSW, DCSW

  • Clinical Social Worker
  • MC Guire Afb, NJ
National Provider Identifier
1699973743
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05323200 Issued in NJ
Practice address
3458 Neely Rd
MC Guire Afb, NJ 08641-5312
Phone
(866) 377-2778
Fax
(609) 754-9249
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 44SC05323200 NJ Primary

Addresses

Primary practice location

3458 Neely Rd
MC Guire Afb, NJ 08641-5312

Mailing address

2217 W Arnold Ave
Joint Base MDL, NJ 08641-5201
Phone (609) 754-2542

Other names 1

  • Jaclyn Fischer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1699973743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 W ARNOLD AVE",
            "city": "JOINT BASE MDL",
            "state": "NJ",
            "postal_code": "086415201",
            "telephone_number": "609-754-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 NEELY RD",
            "city": "MC GUIRE AFB",
            "state": "NJ",
            "postal_code": "086415312",
            "telephone_number": "866-377-2778",
            "fax_number": "609-754-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JACLYN",
        "credential": "MSW, LCSW, DCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05323200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "FISCHER",
            "credential": "MSW, LCSW, DCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in MC Guire Afb, NJ

Sources for this page

Verify at the official NPI Registry.