Eleanor Gross, LCSW
Individual provider Active NPI Clinical Social Worker · Jackson, NJ
NPI 1821059627 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821059627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC00600300 (NJ)
- Practice address
- 95 Wild Dunes Way
Jackson, NJ 08527-4040 - Phone
- (732) 928-0078
- Fax
- (732) 928-0078
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00600300 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family & Children'S Services of Northern New Jersey, Inc. | Clinical | Past |
Accepting new patients |
| Insights Behavioral Health, LLC | Past | Accepting new patients | |
| Jewish Family Service of North Jersey, Inc. | Past | Accepting new patients | |
| Bridges Behavioral Health Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00600300 | NJ | Yes |
Addresses
Primary practice location
95 Wild Dunes Way
Jackson, NJ 08527-4040
Mailing address
95 Wild Dunes Way
Jackson, NJ 08527-4040
Phone (732) 928-0078
Other providers in Jackson, NJ
- Stefano Geraldo Grasso
- Elisheva Greenfield
- Dominique Gretch
- Cassandra Nicole Grod
- Ruth Grosberg
- Nancy Ruth Grossman
- Usher Gruenstein
- Howard G. Grush
- Victor Guijarro
- Chana Gurvich
All providers in Jackson, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.