Active NPIIndividual providerSole proprietor

Ms. Sarah L Jack, LCSW, LMSW

Social Worker, Clinical in River Edge, New Jersey

NPI Number1104324490
Practice location
1060 Main St Ste 303, River Edge, NJ 07661-2592
Fax
—
Last updated
September 23, 2020

Sarah L Jack is a Social Worker, Clinical based in River Edge, NJ. Sarah L Jack practices in River Edge, NJ and has the professional credentials of LCSW, LMSW. The NPI Number for Sarah L Jack is 1104324490 and holds a License No. 052883-1 (NY). The current practice location address for Sarah L Jack is 1060 Main St Ste 303, River Edge, NJ 07661-2592 and can be reached out via phone at 201-488-0408.

Provider Profile Details

NPI Number
1104324490
Provider Name
Sarah L Jack
Credential
LCSW, LMSW
Provider Entity Type
Individual
Gender
Female
Address
1060 Main St Ste 303, River Edge, NJ 07661-2592
Phone Number
201-488-0408
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 1, 2018
Last Update Date
September 23, 2020
Certification Date
September 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1060 Main St Ste 303
River Edge, NJ 07661-2592
Zip
07661-2592
Phone Number
201-488-0408
River Edge, NJ 07661Get directions →

Provider Business Mailing Address Details

Address
256 Sherman Ave
Teaneck, NJ 07666-3311
City
Teaneck
State
NJ
Zip
07666-3311
Phone Number
917-568-8640

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
052883-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
44SC05883100
License State (3)
NJ
Taxonomy (3)
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 Ms. Sarah L Jack, LCSW, LMSW?

The NPI number of Ms. Sarah L Jack, LCSW, LMSW is 1104324490. It was assigned on February 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Sarah L Jack, LCSW, LMSW?

Ms. Sarah L Jack, LCSW, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 052883-1.

Where does Ms. Sarah L Jack, LCSW, LMSW practice?

The practice location is 1060 Main St Ste 303, River Edge, NJ 07661-2592. The office can be reached at 201-488-0408 (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 1104324490 directly on the NPPES registry website.

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