Active NPI
Janine Elliott, LCSW
- Clinical Social Worker
- Chester, NJ
National Provider Identifier
1760754246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05709900
- Practice address
- 259 Main St
Chester, NJ 07930-2528 - Phone
- (908) 914-2624
- NPI assigned
- Jan 31, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05709900 | Primary |
Addresses
Primary practice location
259 Main St
Chester, NJ 07930-2528
Mailing address
259 Main St
Chester, NJ 07930-2528
Phone (908) 914-2624
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023701 | Other | NJ | AGENCY MEDICAID PROVIDER # |
| 7794703 | Other | NJ | AGENCY PROGRAM PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 15, 2024 through Jul 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1760754246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 MAIN ST",
"city": "CHESTER",
"state": "NJ",
"postal_code": "079302528",
"telephone_number": "908-914-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 MAIN ST",
"city": "CHESTER",
"state": "NJ",
"postal_code": "079302528",
"telephone_number": "908-914-2624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "JANINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "44SC05709900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICAID PROVIDER #",
"identifier": "0023701",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY PROGRAM PROVIDER #",
"identifier": "7794703",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.