Jessica Maria Floresta, LCSW, CST-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05821900 Issued in NJ

Practice address

101 E Main St Ste 203
Moorestown, NJ 08057-2920

Phone

(609) 225-9641

Fax

(609) 225-9641

NPI assigned

Jul 1, 2016

Last updated

Oct 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Jersey Therapy Collective LLC

  dba Moorestown Therapy Collective

  • Clinical Social Worker
  • Moorestown, NJ
  • NPI 1306454376
  NPD Authorized official

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1821440843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MANTUA PIKE STE 701",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511606",
            "telephone_number": "609-225-9641",
            "fax_number": "609-225-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 203",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572920",
            "telephone_number": "609-225-9641",
            "fax_number": "609-225-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 Arch St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191031350",
            "country_code": "US",
            "telephone_number": "609-225-9641 x3",
            "fax_number": "609-225-9641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORESTA",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "credential": "LCSW, CST-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020433",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05821900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kathryn L. Fitzsimmons, LCSW
• Mystica Rose Flannery Boris, BCABA
• Christine Marie Flay
• Christie Fleming
• Kristin Fleming, PT, DPT
• Sara M Fonseca
• Foot Specialists of Moorestown, PC
• Kevin Ford
• Screta Ford
• Lily Fortin, LPC

• Clinical Social Worker in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.