Jenna Suzanne Marcella, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05805500 Issued in NJ

Practice address

150 Kensington Rd
River Edge, NJ 07661-1242

Phone

(201) 390-0842

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1982361572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KESINGTON RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "07661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENSINGTON RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611242",
            "telephone_number": "201-390-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLA",
        "first_name": "JENNA",
        "middle_name": "SUZANNE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05805500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Mary Lowry, CCLS
• Zakiyyah Luqman
• Elliott Luty, D.P.T.
• Malki Dental
• Dianna Maranilli, BCBA
• Margaret Ravits MD
• Michael Mariano, LPC, LCADC
• Mark S Goldfarb, MD, PA
• Marlen Martirossian, D.D.S.
• Joshua Bryan Masarof

• Clinical Social Worker in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.