Active NPI
Jasmen Mantashian, LCSW, LCADC
- Clinical Social Worker
- Waldwick, NJ
National Provider Identifier
1922349810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05468500
- Practice address
- 93 Franklin Tpke Ste 203
Waldwick, NJ 07463-1859 - Phone
- (201) 390-3074
- Fax
- (201) 891-4671
- NPI assigned
- Mar 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05468500 | NJ | Primary |
Addresses
Primary practice location
93 Franklin Tpke Ste 203
Waldwick, NJ 07463-1859
Mailing address
PO Box 681
Franklin Lakes, NJ 07417-0681
Phone (201) 390-3074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 1, 2022 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05468500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1922349810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074170681",
"telephone_number": "201-390-3074",
"fax_number": "201-891-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 FRANKLIN TPKE STE 203",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631859",
"telephone_number": "201-390-3074",
"fax_number": "201-891-4671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTASHIAN",
"first_name": "JASMEN",
"credential": "LCSW, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-03",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05468500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.