Individual provider Active NPI

Jessica Kasevich-Oliva, L.C.S.W.

  • Clinical Social Worker
  • Hoboken, NJ
National Provider Identifier
1962877605
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05469200 Issued in NJ
Practice address
12 Hudson PL
Suite L01
Hoboken, NJ 07030-6757
Phone
(917) 968-2797
NPI assigned
Dec 7, 2015
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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 44SC05469200 NJ Primary

Addresses

Primary practice location

12 Hudson PL
Suite L01
Hoboken, NJ 07030-6757

Mailing address

12 Hudson PL
Suite L01
Hoboken, NJ 07030-6757
Phone (917) 968-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05469200NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1962877605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HUDSON PL",
            "address_2": "SUITE L01",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306757",
            "telephone_number": "917-968-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HUDSON PL",
            "address_2": "SUITE L01",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306757",
            "telephone_number": "917-968-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASEVICH-OLIVA",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05469200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.