Individual provider Active NPI

Jewel Safren, LCSW

  • Clinical Social Worker
  • West Orange, NJ
National Provider Identifier
1811360688
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05581900 Issued in NJ
Practice address
9 Suburban Dr
West Orange, NJ 07052-3418
Phone
(973) 736-0180
NPI assigned
Nov 3, 2015
Last updated
Nov 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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 44SC05581900 NJ Primary

Addresses

Primary practice location

9 Suburban Dr
West Orange, NJ 07052-3418

Mailing address

9 Suburban Dr
West Orange, NJ 07052-3418
Phone (973) 736-0180

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210211002929 NJ Practitioner - Clinical Social Worker 1355756958 Practice locations: Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

42 -19 Naugle Dr
Fair Lawn, NJ 07410-5938
Phone (973) 464-8556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05581900NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1811360688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SUBURBAN DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523418",
            "telephone_number": "973-736-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SUBURBAN DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523418",
            "telephone_number": "973-736-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFREN",
        "first_name": "JEWEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05581900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.