Jeannette Marie Gagliardi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05332100 Issued in NJ

Practice address

123 Egg Harbor Rd
Suite 202
Sewell, NJ 08080-9406

Phone

(856) 347-0445

Fax

(856) 228-1096

NPI assigned

Sep 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jeannette Marie Craig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeannette M. Gagliardi, LCSW, LLC

  • Clinical Social Worker
  • Sewell, NJ
  • NPI 1316327919
  Authorized official Same address or phone

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1780879452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 202",
            "address_2": "TOWER COMMONS OFFICE COMPLEX, BUILDING 200",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-347-0445",
            "fax_number": "856-228-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD",
            "address_2": "SUITE 202",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-347-0445",
            "fax_number": "856-228-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIARDI",
        "first_name": "JEANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05332100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "CRAIG",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fusion Chiropractic LLC
• Fve Ec LLC (Washington Township Senior Living)
• G Lee Lerch & Associates, PA
• Brenda Sue Gabrielliq, LPN
• Anne Gaglianese
• Nicole Galati, NP
• Marie Galeno
• Joseph L Gallagher III, DO
• Madison Marie Gallagher, APN
• Megan Marie Gallagher, OTR/L, CHT

• Clinical Social Worker in Sewell, NJ
• Providers in Sewell, 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 Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.