Active NPIIndividual providerSole proprietor

Jennifer Jue Mattle, LCSW

Social Worker, Clinical in Maple Shade, New Jersey

NPI Number1053497727
Practice location
54 W Main St, Maple Shade, NJ 08052-2432
Fax
—
Last updated
July 8, 2007

Jennifer Jue Mattle is a Social Worker, Clinical based in Maple Shade, NJ. Jennifer Jue Mattle practices in Maple Shade, NJ and has the professional credentials of LCSW. The NPI Number for Jennifer Jue Mattle is 1053497727 and holds a License No. 44SC05156000 (NJ). The current practice location address for Jennifer Jue Mattle is 54 W Main St, Maple Shade, NJ 08052-2432 and can be reached out via phone at 856-667-5353.

Provider Profile Details

NPI Number
1053497727
Provider Name
Jennifer Jue Mattle
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
54 W Main St, Maple Shade, NJ 08052-2432
Phone Number
856-667-5353
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 27, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 W Main St
Maple Shade, NJ 08052-2432
Zip
08052-2432
Phone Number
856-667-5353
Maple Shade, NJ 08052Get directions →

Provider Business Mailing Address Details

Address
54 W Main St
Maple Shade, NJ 08052-2432
City
Maple Shade
State
NJ
Zip
08052-2432
Phone Number
856-667-5353

License Information

License Number
44SC05156000
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Jue Mattle, LCSW?

The NPI number of Jennifer Jue Mattle, LCSW is 1053497727. It was assigned on October 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennifer Jue Mattle, LCSW?

Jennifer Jue Mattle, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05156000.

Where does Jennifer Jue Mattle, LCSW practice?

The practice location is 54 W Main St, Maple Shade, NJ 08052-2432. The office can be reached at 856-667-5353 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053497727 directly on the NPPES registry website.

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