Jacqueline C Porter-Stewart, LCADC, LCSW, SAP,

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00133600 Issued in NJ

Practice address

20 Nassau St
Suite 204
Princeton, NJ 08542-4509

Phone

(609) 454-3080

Fax

(609) 454-3078

NPI assigned

Jun 28, 2008

Last updated

Apr 30, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, TX2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Supplanter Counseling & Mediation, LLC

  • Clinical Social Worker
  • Ewing, NJ
  • NPI 1124665708
  Medicare reassignment Authorized official
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  Medicare reassignment

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1912169103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUPPLANTER COUNSELING & MEDIATION, LLC",
            "address_2": "1330 PARKWAY AVENUE, STE. 12",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086284509",
            "telephone_number": "609-454-3080",
            "fax_number": "609-454-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NASSAU ST",
            "address_2": "SUITE 204",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424509",
            "telephone_number": "609-454-3080",
            "fax_number": "609-454-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER-STEWART",
        "first_name": "JACQUELINE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCADC, LCSW, SAP,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-28",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00133600",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05534200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PNP Pediatrics, LLC (Princeton Nassau Pediatrics)
• Mary Janet Poinsett, LCSW
• Julia Pojawis, PA-C
• Kimberly Poplaski, MSN, APN, FNP-C
• Jill Portaro
• Gina Loshkajian Posluszny, M.D.
• Laurie Posner, M. ED., L.P.C.
• Tracey L. Post, LCSW
• Postorino Psychological Services LLC
• Lia Postorino, PSY.D.

• Addiction (Substance Use Disorder) Counselor in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.