Individual provider Active NPI

Jeanine Budwick, MSW, LCSW

  • Clinical Social Worker
  • Holmdel, NJ
National Provider Identifier
1912070772
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05297800 Issued in NJ
Practice address
3 Jennifer Dr
Holmdel, NJ 07733-1618
Phone
(908) 601-1676
Fax
(732) 888-0371
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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 44SC05297800 NJ Primary

Addresses

Primary practice location

3 Jennifer Dr
Holmdel, NJ 07733-1618

Mailing address

3 Jennifer Dr
Holmdel, NJ 07733-1618
Phone (908) 601-1676

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1912070772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JENNIFER DR",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331618",
            "telephone_number": "908-601-1676",
            "fax_number": "732-888-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JENNIFER DR",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331618",
            "telephone_number": "908-601-1676",
            "fax_number": "732-888-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDWICK",
        "first_name": "JEANINE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05297800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.