Individual provider Active NPI

Jessica Cronin, LCSW

  • Clinical Social Worker
  • Freehold, NJ
National Provider Identifier
1700208923
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC0564400 Issued in NJ
Practice address
16 Club PL
Freehold, NJ 07728-1909
Phone
(732) 409-1395
NPI assigned
Jan 7, 2014
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05808000 NJ
Social Worker 104100000X 44SC05644000 NJ
Clinical Social Worker 1041C0700X 44SC0564400 NJ Primary

Addresses

Primary practice location

16 Club PL
Freehold, NJ 07728-1909

Mailing address

16 Club PL
Freehold, NJ 07728-1909
Phone (732) 409-1395

Other practice location 1

281 Route 34
Colts Neck, NJ 07722-2439
Phone (973) 801-0938

Other practice location 2

613 Hope Rd
Bldg 4, 2nd floor
Eatontown, NJ 07724-1278
Phone (732) 544-4544

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05644000NJMDSocial Worker
44SL05808000NJMDSocial Worker
44SC0564400NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1700208923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CLUB PL",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281909",
            "telephone_number": "732-409-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CLUB PL",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281909",
            "telephone_number": "732-409-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Route 34",
            "address_purpose": "LOCATION",
            "city": "Colts Neck",
            "state": "NJ",
            "postal_code": "077222439",
            "country_code": "US",
            "telephone_number": "973-801-0938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Hope Rd",
            "address_2": "Bldg 4, 2nd floor",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241278",
            "country_code": "US",
            "telephone_number": "732-544-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05808000",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05644000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0564400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.