Individual provider Active NPI

Jeanmarie Chang

  • Clinical Social Worker
  • Watchung, NJ
National Provider Identifier
1972036648
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05728200 Issued in NJ
Practice address
775 Mountain Blvd Ste 111
Watchung, NJ 07069-6262
Phone
(908) 656-1006
NPI assigned
Apr 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 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 44SC05728200 NJ Primary

Addresses

Primary practice location

775 Mountain Blvd Ste 111
Watchung, NJ 07069-6262

Mailing address

94 Dock Watch Hollow Rd
Warren, NJ 07059-6926
Phone (908) 656-1006

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
I20170515002057 NJ Practitioner - Clinical Social Worker 1355628603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Shawnee Dr
Suite 3
Watchung, NJ 07069-5803
Phone (908) 656-1006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanmarie Maroney Chang LLC Clinical CurrentSince Jun 11, 2018 Accepting new patients

Locations

10 Shawnee Dr
Ste 3
Watchung, NJ 07069
Phone (908) 656-1006

775 Mountain Blvd
Ste 111
Watchung, NJ 07069
Phone (908) 656-1006

Organizations & group practices 1

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1972036648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 DOCK WATCH HOLLOW RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596926",
            "telephone_number": "908-656-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 MOUNTAIN BLVD STE 111",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696262",
            "telephone_number": "908-656-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JEANMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05728200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

Verify at the official NPI Registry.