Active NPI
Jacqueline Collard, DSW, LCSW
- Clinical Social Worker
- Ridgewood, NJ
National Provider Identifier
1821755711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06419800
- Practice address
- 88 W Ridgewood Ave
Ridgewood, NJ 07450-3199 - Phone
- (201) 714-0820
- NPI assigned
- Nov 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06419800 | NJ | Primary |
Addresses
Primary practice location
88 W Ridgewood Ave
Ridgewood, NJ 07450-3199
Mailing address
578 Maywood Ave Apt 1a
Maywood, NJ 07607-1560
Phone (908) 721-6728
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06029900 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1821755711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 MAYWOOD AVE APT 1A",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071560",
"telephone_number": "908-721-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 W RIDGEWOOD AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503199",
"telephone_number": "201-714-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLARD",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "DSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-26",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06419800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
- Jean Susan Coe, MSW, PHD
- Dennis Coffey, MD
- Benjamin Cohen, MD
- Caitlin Natalie Colditz, LAC
- Annette Lisa Coletta, L.P.C.
- Mary Catherine Collins, NURSE PRACTITIONER
- Radharani Collins, LPC, NCC
- Colon & Rectal Surgery of North Jersey, L.L.C.
- Jessica Catherine Colucci, LAC
- Columbia Doctors of New Jersey, P. C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.