Individual provider Active NPI

Jennifer Lieberman, LSW

  • Social Worker
  • Brick, NJ
National Provider Identifier
1912378670
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06119900 Issued in NJ
Practice address
1683 Route 88 W
Brick, NJ 08724-3072
Phone
(732) 840-5266
Fax
(732) 840-7840
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06119900 NJ Primary

Addresses

Primary practice location

1683 Route 88 W
Brick, NJ 08724-3072

Mailing address

1683 Route 88 W
Brick, NJ 08724-3072
Phone (732) 840-5266

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
I20230220001973 NJ Practitioner - Clinical Social Worker 1951773969 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
The Howard Center for Wellness LLCGroup PAC ID 3577804210, 2 clinicians

Practice addresses (Care Compare)

200 Middlesex Essex Tpke
Suite 102
Iselin, NJ 08830-2033
Phone (732) 655-6339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06119900NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcareserv CurrentSince Jan 9, 2023 Accepting new patients
The Howard Center for Wellness LLC CurrentSince Jan 9, 2023 Accepting new patients
Modern Therapy, LLC Past Accepting new patients

Locations

200 Middlesex Tpke
Ste 102
Iselin, NJ 08830
Phone (732) 655-6339

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEECD

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1912378670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243072",
            "telephone_number": "732-840-5266",
            "fax_number": "732-840-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243072",
            "telephone_number": "732-840-5266",
            "fax_number": "732-840-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "JENNIFER",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06119900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.