Active NPI
Jessica Cronin, LCSW
- Clinical Social Worker
- Freehold, NJ
National Provider Identifier
1700208923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC0564400
- Practice address
- 16 Club PL
Freehold, NJ 07728-1909 - Phone
- (732) 409-1395
- NPI assigned
- Jan 7, 2014
- Last updated
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05644000 | NJ | MD | Social Worker |
| 44SL05808000 | NJ | MD | Social Worker |
| 44SC0564400 | NJ | MD | Clinical 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.