Individual provider Active NPI

Jessica S Clark, LCSW

  • Clinical Social Worker
  • Point Pleasant Boro, NJ
National Provider Identifier
1700168341
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05969500 Issued in NJ
Practice address
3820 River Rd
Point Pleasant Boro, NJ 08742-2054
Phone
(732) 840-5266
NPI assigned
Sep 9, 2011
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 44SC05969500 NJ Primary

Addresses

Primary practice location

3820 River Rd
Point Pleasant Boro, NJ 08742-2054

Mailing address

3820 River Rd
Point Pleasant Boro, NJ 08742-2054

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
I20210428000236 NJ Practitioner - Clinical Social Worker 7113335357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsychology and Counseling Associates, LLCGroup PAC ID 4880689298, 15 clinicians

Practice addresses (Care Compare)

1683 Route 88
Suite a
Brick, NJ 08724-3072
Phone (732) 840-5266

3820 River Rd
Point Pleasant, NJ 08742-2054
Phone (732) 840-5266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Associates, LLC CurrentSince Apr 13, 2021 Accepting new patients

Locations

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

4 Paragon Way
Ste 350
Freehold, NJ 07728
Phone (212) 262-0741

3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266

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, 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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1700168341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 RIVER RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 RIVER RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422054",
            "telephone_number": "732-840-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05969500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

Verify at the official NPI Registry.