Jaime Ellen Langford

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05607500 Issued in NJ

Practice address

20 Vanderhoof Ave
Rockaway, NJ 07866-3148

Phone

(973) 586-5243

NPI assigned

Oct 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excelsior Counseling LLC

  • Mental Health Counselor
  • Mountain Lakes, NJ
  • NPI 1457915241

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1770893166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VANDERHOOF AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663148",
            "telephone_number": "973-586-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VANDERHOOF AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663148",
            "telephone_number": "973-586-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "JAIME",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05607500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID MMIS #",
            "identifier": "00745088",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI #",
            "identifier": "1003991019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Kratzke, OTR/L
• Eric Kubichek, DPT
• Gina Kula, PHARM.D.
• Joshua Kunarasa
• Laurie Jeanne Kurz-Dalbon, R.PH.
• Leah Oswanski LLC
• Sung Chul Lee, L.AC.
• Janis Jean Leinfuss, OTD
• Lennon'S House a NJ Nonprofit Corp
• Jacquelyn Leone, RD

• Clinical Social Worker in Rockaway, NJ
• Providers in Rockaway, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.