Individual provider Active NPI

Jessica O'Gara -Mankowski, BA/MSW

  • Clinical Social Worker
  • Seaside Park, NJ
National Provider Identifier
1922303841
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05349800 Issued in NJ
Practice address
1802 Boulevard
Seaside Park, NJ 08752-1209
Phone
(908) 476-2865
NPI assigned
Jan 25, 2011
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 44SC05349800 NJ Primary

Addresses

Primary practice location

1802 Boulevard
Seaside Park, NJ 08752-1209

Mailing address

47 Curtis CT
Kendall Park, NJ 08824-1532
Phone (908) 476-2865

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
I20111005000037 NJ Practitioner - Clinical Social Worker 5698947166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group NJ PCGroup PAC ID 8224559174, 14 clinicians

Practice addresses (Care Compare)

Hackettstown, NJ 07840
Phone (973) 576-5147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Mental & Behavioral Services, Inc CurrentSince Oct 15, 2021 Accepting new patients
Senior Care Therapy LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients
Mental Health Specialty Group NJ, PC CurrentSince Sep 1, 2025 Accepting new patients
Premier Mental & Behavioral Services, Inc CurrentSince Oct 15, 2021 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

615 Hope Rd
Ste 3B
Eatontown, NJ 07724
Phone (732) 724-1234

830 Morris Tpke
Short Hills, NJ 07078
Phone (973) 302-6040

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1922303841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CURTIS CT",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241532",
            "telephone_number": "908-476-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BOULEVARD",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "087521209",
            "telephone_number": "908-476-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GARA -MANKOWSKI",
        "first_name": "JESSICA",
        "credential": "BA/MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05349800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside Park, NJ

Sources for this page

Verify at the official NPI Registry.