Individual provider Active NPI

Jarrah Kratzer, LCSW

  • Clinical Social Worker
  • Freehold, NJ
National Provider Identifier
1700218666
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05453200 Issued in NJ
Practice address
150 Coachman Dr N
Freehold, NJ 07728-3153
Phone
(732) 637-9313
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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 44SC05453200 NJ Primary

Addresses

Primary practice location

150 Coachman Dr N
Freehold, NJ 07728-3153

Mailing address

330 Mounts Corner Dr # 227
Freehold, NJ 07728-2558
Phone (732) 637-9313

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
I20131030001420 NJ Practitioner - Clinical Social Worker 2466687330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 Coachman Dr N
Freehold, NJ 07728-3153
Phone (732) 637-9313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05453200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Therapeutic Services, LLC Clinical CurrentSince Oct 24, 2018 Accepting new patients

Locations

330 Mounts Corner Dr
Freehold, NJ 07728
Phone (732) 780-9898

9 Village Ct
Hazlet, NJ 07730
Phone (732) 637-9313

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1700218666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MOUNTS CORNER DR # 227",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282558",
            "telephone_number": "732-637-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COACHMAN DR N",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283153",
            "telephone_number": "732-637-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATZER",
        "first_name": "JARRAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05453200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.