Individual provider Active NPI

Josefina Morales-Jimenez, MSW,LCSW

  • Clinical Social Worker
  • Newark, NJ
National Provider Identifier
1811074552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05252800 Issued in NJ
Practice address
1160 Raymond Blvd
6TH Floor
Newark, NJ 07102-4168
Phone
(973) 639-6520
Fax
(973) 642-2501
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05252800 NJ Primary

Addresses

Primary practice location

1160 Raymond Blvd
6TH Floor
Newark, NJ 07102-4168

Mailing address

721 Page Ave
Lyndhurst, NJ 07071-2516
Phone (201) 681-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 27, 2014 through Jun 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05252800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Palisade Behavioral Care, PA PastSince Jun 12, 2022 Accepting new patients
NJ Behavioral Care Inc. PastSince Nov 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811074552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 PAGE AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070712516",
            "telephone_number": "201-681-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 RAYMOND BLVD",
            "address_2": "6TH FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024168",
            "telephone_number": "973-639-6520",
            "fax_number": "973-642-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-JIMENEZ",
        "first_name": "JOSEFINA",
        "name_prefix": "Miss",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05252800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.