Active NPI
Jacquelyn Schriver, MSW, LCSW
- Social Worker
- Marlton, NJ
National Provider Identifier
1720649353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06469000
- Practice address
- 19 E Main St
Marlton, NJ 08053-2172 - Phone
- (856) 985-9091
- NPI assigned
- Jun 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06469000 | NJ | Primary |
Addresses
Primary practice location
19 E Main St
Marlton, NJ 08053-2172
Mailing address
1105 Sheffield CT
Bensalem, PA 19020-4824
Phone (609) 980-9338
Other practice location 1
1105 Sheffield Ct
Bensalem, PA 19020-4824
Phone (609) 980-9338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06469000 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ripple Effect Counseling, LLC | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Bensalem, PA
- NPI 1710729942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1720649353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SHEFFIELD CT",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190204824",
"telephone_number": "609-980-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E MAIN ST",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532172",
"telephone_number": "856-985-9091"
}
],
"practiceLocations": [
{
"address_1": "1105 Sheffield Ct",
"address_purpose": "LOCATION",
"city": "Bensalem",
"state": "PA",
"postal_code": "190204824",
"country_code": "US",
"telephone_number": "609-980-9338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHRIVER",
"first_name": "JACQUELYN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06469000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.