Individual provider Active NPI

Jacquelyn Schriver, MSW, LCSW

  • Social Worker
  • Marlton, NJ
National Provider Identifier
1720649353
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06469000 Issued in NJ
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

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
44SL06469000NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ripple Effect Counseling, LLC CurrentSince Aug 4, 2024 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.

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

Verify at the official NPI Registry.