Individual provider Active NPI

Jennifer Bronsnick, LCSW

  • Clinical Social Worker
  • Millburn, NJ
National Provider Identifier
1811225790
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05354800 Issued in NJ
Practice address
46 Essex St
2ND Floor
Millburn, NJ 07041-1607
Phone
(866) 488-4552
NPI assigned
Dec 3, 2009
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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 44SC05354800 NJ Primary

Addresses

Primary practice location

46 Essex St
2ND Floor
Millburn, NJ 07041-1607

Mailing address

21 Mount Pleasant Pkwy
Livingston, NJ 07039-2820
Phone (646) 522-2123

Other names 1

  • Jennifer Boyd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1811225790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MOUNT PLEASANT PKWY",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392820",
            "telephone_number": "646-522-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ESSEX ST",
            "address_2": "2ND FLOOR",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411607",
            "telephone_number": "866-488-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSNICK",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05354800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOYD",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.