Jennifer A Flatley, LCSW
Individual provider Active NPI Clinical Social Worker · Wall, NJ
NPI 1982134656 · NPPES record last updated Sep 9, 2019
Key facts
- NPI
- 1982134656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05821400 (NJ)
- Practice address
- 1540 Rte 138
Wall, NJ 07719-3763 - Phone
- (732) 261-0513
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
55 Anita Dr
Jackson, NJ 08527-4902
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191031001218 | NJ | Practitioner - Clinical Social Worker | 7911239595 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL0600650 | NJ | MD | Social Worker |
| 44SC05821400 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL0600650 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05821400 | NJ | Yes |
Addresses
Primary practice location
1540 Rte 138
Wall, NJ 07719-3763
Mailing address
55 Anita Dr
Jackson, NJ 08527-4902
Phone (732) 261-0513
Other providers in Wall, NJ
- Charles Elmendorf
- Embracing Hospicecare of New Jersey,LLC
- Donald Gordan Fahringer
- Natalye Meredith Faison
- Family Focus Physical Therapy PA
- Forzani Family Chiropractic II Inc
- Lisa Forzani
- Hubert Roman Franke
- Franklin J. Frasco, M.D. PA
- David J Garbolino
All providers in Wall, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.