Jaclyn E Digesere, LCSW, MSW

Individual provider Active NPI Clinical Social Worker · Toms River, NJ

NPI 1881978609 · NPPES record last updated Sep 29, 2011

Key facts

NPI
1881978609
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05476800 (NJ)
Practice address
10 Pine Crest Dr
Toms River, NJ 08753-1933
Phone
(201) 665-2009
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44SC05476800NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05476800 NJ Yes

Addresses

Primary practice location

10 Pine Crest Dr
Toms River, NJ 08753-1933

Mailing address

10 Pine Crest Dr
Toms River, NJ 08753-1933
Phone (201) 665-2009

Other providers in Toms River, NJ

All providers in Toms River, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.