Jake Sussman, LCSW
Social Worker, Clinical in Mountainside, New Jersey
1245935931- Practice location
- 615 Sherwood Pkwy, Mountainside, NJ 07092-2525
- Phone
- 732-991-7248
- Fax
- —
- Last updated
- April 3, 2023
Jake Sussman is a Social Worker, Clinical based in Mountainside, NJ. Jake Sussman practices in Mountainside, NJ and has the professional credentials of LCSW. The NPI Number for Jake Sussman is 1245935931 and holds a License No. 44SC06194300 (NJ). The current practice location address for Jake Sussman is 615 Sherwood Pkwy, Mountainside, NJ 07092-2525 and can be reached out via phone at 732-991-7248.
Provider Profile Details
- NPI Number
- 1245935931
- Provider Name
- Jake Sussman
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 615 Sherwood Pkwy, Mountainside, NJ 07092-2525
- Phone Number
- 732-991-7248
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 3, 2023
- Last Update Date
- April 3, 2023
- Certification Date
- April 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 615 Sherwood Pkwy
Mountainside, NJ 07092-2525 - City
- Mountainside
- State
- New Jersey
- Zip
- 07092-2525
- Phone Number
- 732-991-7248
Provider Business Mailing Address Details
- Address
- 615 Sherwood Pkwy
Mountainside, NJ 07092-2525 - City
- Mountainside
- State
- NJ
- Zip
- 07092-2525
- Phone Number
- 732-991-7248
License Information
- License Number
- 44SC06194300
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Mountainside, NJ
View all Social Worker, Clinical providers in Mountainside →- Aimee Gross, LCSWSocial Worker, Clinical · NPI 1679165864
- Amanda Dembowski, LSWSocial Worker, Clinical · NPI 1093620130
- Ashley Donkor, LCSWSocial Worker, Clinical · NPI 1619856564
- Cari RosenbergSocial Worker, Clinical · NPI 1346060241
- Christina L Giacomello, LCSWSocial Worker, Clinical · NPI 1801493929
- Deborah M Ferraro, LCSWSocial Worker, Clinical · NPI 1306330956
Frequently Asked Questions
What is the NPI number of Jake Sussman, LCSW?
The NPI number of Jake Sussman, LCSW is 1245935931. It was assigned on April 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Jake Sussman, LCSW?
Jake Sussman, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06194300.
Where does Jake Sussman, LCSW practice?
The practice location is 615 Sherwood Pkwy, Mountainside, NJ 07092-2525. The office can be reached at 732-991-7248 (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 1245935931 directly on the NPPES registry website.