Individual provider Active NPI

Jusleine C Daniel, L.C.S.W.

  • Clinical Social Worker
  • Highland Park, NJ
National Provider Identifier
1912347147
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05538900 Issued in NJ
Practice address
328 Denison St
Highland Park, NJ 08904-2732
Phone
(732) 610-5119
Fax
(908) 275-8073
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00317100 NJ
Clinical Social Worker 1041C0700X 44SC05538900 NJ Primary

Addresses

Primary practice location

328 Denison St
Highland Park, NJ 08904-2732

Mailing address

PO Box 23
Edison, NJ 08818-0023
Phone (732) 610-5119

Other identifiers 1

IdentifierTypeStateIssuer
0601021MedicaidNJ

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
I20160928000391 NJ Practitioner - Clinical Social Worker 7810284338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 N 3Rd Ave
Suite 100 C
Highland Park, NJ 08904-2444
Phone (732) 610-5119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00317100NJMDAddiction (Substance Use Disorder) Counselor
44SC05538900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jusleine Expressions, LLC Addiction (Substance Use Disorder) CurrentSince Sep 15, 2020 Accepting new patients
Vimax LLC Multi-Specialty CurrentSince Jul 11, 2016 Accepting new patients
Vimax LLC CurrentSince Jul 11, 2016 Accepting new patients

Locations

6 Cornwall Ct
Ste B
East Brunswick, NJ 08816
Phone (732) 955-4141

328 Denison St
Highland Park, NJ 08904
Phone (732) 266-5154

24 N 3rd Ave
Ste 100
Highland Park, NJ 08904
Phone (732) 610-5119

Organizations & group practices 3

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1912347147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088180023",
            "telephone_number": "732-610-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 DENISON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042732",
            "telephone_number": "732-610-5119",
            "fax_number": "908-275-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JUSLEINE",
        "middle_name": "C",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00317100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05538900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601021",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.