Active NPIIndividual providerSole proprietor

Jillian Debenedetto, LCSW

Social Worker, Clinical in Jersey City, New Jersey

NPI Number1073861209
Practice location
Fort Health Medical Group 613 Washing Blvd., #1297, Jersey City, NJ 10314-1509
Fax
—
Last updated
December 22, 2022

Jillian Debenedetto is a Social Worker, Clinical based in Jersey City, NJ. Jillian Debenedetto practices in Jersey City, NJ and has the professional credentials of LCSW. The NPI Number for Jillian Debenedetto is 1073861209 and holds a License No. 44SC06143700 (NJ). The current practice location address for Jillian Debenedetto is Fort Health Medical Group 613 Washing Blvd., #1297, Jersey City, NJ 10314-1509 and can be reached out via phone at 201-208-2616.

Provider Profile Details

NPI Number
1073861209
Provider Name
Jillian Debenedetto
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
Fort Health Medical Group 613 Washing Blvd., #1297, Jersey City, NJ 10314-1509
Phone Number
201-208-2616
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 20, 2012
Last Update Date
December 22, 2022
Certification Date
December 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Fort Health Medical Group 613 Washing Blvd.
#1297
Jersey City, NJ 10314-1509
Zip
10314-1509
Phone Number
201-208-2616
Jersey City, NJ 10314Get directions →

Provider Business Mailing Address Details

Address
108 Highland Ave
Jersey City, NJ 07306-5802
City
Jersey City
State
NJ
Zip
07306-5802
Phone Number
732-610-3238

License Information

License Number (2)
44SC06143700
License State (2)
NJ
Taxonomy (2)
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 Jillian Debenedetto, LCSW?

The NPI number of Jillian Debenedetto, LCSW is 1073861209. It was assigned on August 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Jillian Debenedetto, LCSW?

Jillian Debenedetto, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06143700.

Where does Jillian Debenedetto, LCSW practice?

The practice location is Fort Health Medical Group 613 Washing Blvd., #1297, Jersey City, NJ 10314-1509. The office can be reached at 201-208-2616 (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 1073861209 directly on the NPPES registry website.

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