Jessica Decker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05975800 Issued in NJ

Practice address

10 Allen St Ste D
Toms River, NJ 08753-7652

Phone

(908) 278-7633

NPI assigned

Jul 7, 2021

Last updated

Sep 7, 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 1

Addresses

Other names 1

• Jessica Bragen Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1871164103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALLEN ST STE 2D",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537652",
            "telephone_number": "908-278-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALLEN ST STE D",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537652",
            "telephone_number": "908-278-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05975800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BRAGEN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Deangelo, PTA
• Deborah Eisen MD PC
• Angel Debose
• Vicki Lee Jamie Debree, MS,OTR/L
• Kristen E Deceglie
• Steven R Deckler, DC
• Joseph Anthony Decorso Jr., MD
• Deer Chase Medical Associates PA
• Jennifer Elizabeth Defeo
• Eliezer Vieira Defranca, LCSW, LCADC

• Clinical Social Worker in Toms River, NJ
• Providers in Toms River, 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 Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.