Individual provider Active NPI

Marlene Jacobs-Kaplan, MSW LCSW

  • Clinical Social Worker
  • Medford, NJ
National Provider Identifier
1831262294
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01015600 Issued in NJ
Practice address
639 Stokes Road
Suite 203
Medford, NJ 08055-3003
Phone
(609) 953-1222
Fax
(609) 714-0095
NPI assigned
Nov 15, 2006
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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 44SC01015600 NJ Primary

Addresses

Primary practice location

639 Stokes Road
Suite 203
Medford, NJ 08055-3003

Mailing address

639 Stokes Road
Suite 203
Medford, NJ 08055-3003
Phone (609) 953-1222

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1831262294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 STOKES ROAD",
            "address_2": "SUITE 203",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553003",
            "telephone_number": "609-953-1222",
            "fax_number": "609-714-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 STOKES ROAD",
            "address_2": "SUITE 203",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553003",
            "telephone_number": "609-953-1222",
            "fax_number": "609-714-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS-KAPLAN",
        "first_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01015600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.