Individual provider Active NPI

Jeanne Lessner, LCSW

  • Clinical Social Worker
  • Summit, NJ
National Provider Identifier
1922133156
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05092400 Issued in NJ
Practice address
35 Beechwood Rd Ste 3a B
Integrated Behavioral Care PA
Summit, NJ 07901-4604
Phone
(908) 766-1000
Fax
(908) 598-2408
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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 44SC05092400 NJ Primary

Addresses

Primary practice location

35 Beechwood Rd Ste 3a B
Integrated Behavioral Care PA
Summit, NJ 07901-4604

Mailing address

25 Macopin Ave
Montclair, NJ 07043-2024
Phone (973) 509-9130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2021 through Apr 1, 2027

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1922133156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MACOPIN AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432024",
            "telephone_number": "973-509-9130",
            "fax_number": "908-598-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEECHWOOD RD STE 3A B",
            "address_2": "INTEGRATED BEHAVIORAL CARE PA",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014604",
            "telephone_number": "908-766-1000",
            "fax_number": "908-598-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSNER",
        "first_name": "JEANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05092400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.