Individual provider Active NPI

Jessica A Fowler, LCSW

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1891215828
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05888700 Issued in NJ
Practice address
750 Route 73 S BLDG 4
Marlton, NJ 08053-4141
Phone
(856) 325-5623
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05888700 NJ Primary
Social Worker 104100000X 44SL06278000 NJ

Addresses

Primary practice location

750 Route 73 S BLDG 4
Marlton, NJ 08053-4141

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

6981 N Park Dr Ste 300A
Pennsauken, NJ 08109-4205
Phone (856) 854-4524

Other practice location 2

1561 Route 38 Ste 1
Lumberton, NJ 08048-2939
Phone (609) 288-8844 ext. 1006

Other practice location 3

101 Burrs Rd Ste A&b
Westampton, NJ 08060-5517
Phone (609) 261-0240

Other practice location 4

1945 Route 70 E Ste C
Cherry Hill, NJ 08003-2160
Phone (856) 325-3760

Other practice location 5

401 Young Ave Ste 325
Moorestown, NJ 08057-4800
Phone (856) 291-8865

Other practice location 6

115 N Church St Ste 1
Moorestown, NJ 08057-2493
Phone (856) 200-8339

Electronic endpoints 7

TypeEndpointUseAffiliation
Direct Messaging Address jfowler279084@directvirtua.org
Direct Messaging Address jfowler279084@directvirtua.org
Direct Messaging Address jfowler279084@directvirtua.org
Direct Messaging Address jfowler279084@directvirtua.org
Direct Messaging Address jfowler279084@directvirtua.org
Direct Messaging Address jfowler279084@directvirtua.org
Direct Messaging Address jfowler279084@directvirtua.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200828001449 NJ Practitioner - Clinical Social Worker 9234556713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1945 Route 70 E
Suite C
Cherry Hill, NJ 08003-2160
Phone (856) 325-3760

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06278000NJMDSocial Worker
44SC05888700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2024 Accepting new patients
The Chrysalis Counseling Center Social Worker CurrentSince Oct 27, 2024 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients
Solstice Counseling Services Corp. PastSince Jul 1, 2022 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1945 Route 70 E
Ste C
Cherry Hill, NJ 08003
Phone (856) 325-3760

1561 Route 38
Ste 1
Lumberton, NJ 08048
Phone 6092888844 ext. 1006

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

115 N Church St
Ste 1
Moorestown, NJ 08057
Phone (609) 225-4885

401 Young Ave
Ste 325
Moorestown, NJ 08057
Phone (800) 346-7834

6981 N Park Dr
Ste 300A
Pennsauken, NJ 08109
Phone (856) 854-4524

106 Carnie Blvd
Ste B
Voorhees, NJ 08043
Phone (856) 325-5623

101 Burrs Rd
Ste Ab
Westampton, NJ 08060
Phone (609) 261-0240

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1891215828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S BLDG 4",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534141",
            "telephone_number": "856-325-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6981 N Park Dr Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081094205",
            "country_code": "US",
            "telephone_number": "856-854-4524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Route 38 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NJ",
            "postal_code": "080482939",
            "country_code": "US",
            "telephone_number": "609-288-8844 x1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Burrs Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080605517",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Route 70 E Ste C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032160",
            "country_code": "US",
            "telephone_number": "856-325-3760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080574800",
            "country_code": "US",
            "telephone_number": "856-291-8865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 N Church St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080572493",
            "country_code": "US",
            "telephone_number": "856-200-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05888700",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06278000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler279084@directvirtua.org",
            "affiliation": "N",
            "address_1": "106 Carnie Blvd Ste B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler279084@directvirtua.org",
            "affiliation": "N",
            "address_1": "106 Carnie Blvd Ste B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler279084@directvirtua.org",
            "affiliation": "N",
            "address_1": "101 Burrs Rd Ste A&b",
            "city": "Westampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080605517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler279084@directvirtua.org",
            "affiliation": "N",
            "address_1": "6981 N Park Dr Ste 300A",
            "city": "Pennsauken",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081094205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler279084@directvirtua.org",
            "affiliation": "N",
            "address_1": "1945 Route 70 E Ste C",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080032160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler279084@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 325",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080574800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler279084@directvirtua.org",
            "affiliation": "N",
            "address_1": "750 Route 73 S Bldg 4",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.