Active NPIIndividual provider

Jesse L Bader, LSW

Social Worker in Ridgewood, New Jersey

NPI Number1063087302
Practice location
120 Chestnut St, Ridgewood, NJ 07450-2504
Fax
—
Last updated
May 20, 2021

Jesse L Bader is a Social Worker based in Ridgewood, NJ. Jesse L Bader practices in Ridgewood, NJ and has the professional credentials of LSW. The NPI Number for Jesse L Bader is 1063087302 and holds a License No. 44SL06497700 (NJ). The current practice location address for Jesse L Bader is 120 Chestnut St, Ridgewood, NJ 07450-2504 and can be reached out via phone at 201-444-3550.

Provider Profile Details

NPI Number
1063087302
Provider Name
Jesse L Bader
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
120 Chestnut St, Ridgewood, NJ 07450-2504
Phone Number
201-444-3550
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
May 20, 2021
Last Update Date
May 20, 2021
Certification Date
May 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
Zip
07450-2504
Phone Number
201-444-3550
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
City
Ridgewood
State
NJ
Zip
07450-2504
Phone Number
201-444-3550

License Information

License Number
44SL06497700
License State
NJ
Taxonomy
Social Worker · 104100000X · 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 Jesse L Bader, LSW?

The NPI number of Jesse L Bader, LSW is 1063087302. It was assigned on May 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Jesse L Bader, LSW?

Jesse L Bader, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL06497700.

Where does Jesse L Bader, LSW practice?

The practice location is 120 Chestnut St, Ridgewood, NJ 07450-2504. The office can be reached at 201-444-3550 (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 1063087302 directly on the NPPES registry website.

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