Individual provider Active NPI

Jaimie Lynn Schoeffer-Reynolds, LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1821310046
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05270800 Issued in NJ
Practice address
589 Franklin Tpke
Suite 7
Ridgewood, NJ 07450-1989
Phone
(347) 886-4541
Fax
(201) 836-0249
NPI assigned
Feb 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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 44SC05270800 NJ Primary

Addresses

Primary practice location

589 Franklin Tpke
Suite 7
Ridgewood, NJ 07450-1989

Mailing address

589 Franklin Tpke
Suite 7
Ridgewood, NJ 07450-1989
Phone (347) 886-4541

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05270800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1821310046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 FRANKLIN TPKE",
            "address_2": "SUITE 7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501989",
            "telephone_number": "347-886-4541",
            "fax_number": "201-836-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 FRANKLIN TPKE",
            "address_2": "SUITE 7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501989",
            "telephone_number": "347-886-4541",
            "fax_number": "201-836-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEFFER-REYNOLDS",
        "first_name": "JAIMIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05270800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.