Active NPIIndividual provider

Jaya J Russell, MSW, LSW

Social Worker, Clinical in Hainesport, New Jersey

NPI Number1649055096
Practice location
1289 Route 38 Ste 203, Hainesport, NJ 08036-2730
Fax
—
Last updated
August 25, 2023

Jaya Jareece Russell is a Social Worker, Clinical based in Hainesport, NJ. Jaya Jareece Russell practices in Hainesport, NJ and has the professional credentials of MSW, LSW. The NPI Number for Jaya Jareece Russell is 1649055096 and holds a License No. 44SL07002000 (NJ). The current practice location address for Jaya Jareece Russell is 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730 and can be reached out via phone at 609-267-1377.

Provider Profile Details

NPI Number
1649055096
Provider Name
Jaya Jareece Russell
Credential
MSW, LSW
Provider Entity Type
Individual
Gender
Female
Address
1289 Route 38 Ste 203, Hainesport, NJ 08036-2730
Phone Number
609-267-1377
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2023
Last Update Date
August 25, 2023
Certification Date
August 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1289 Route 38 Ste 203
Hainesport, NJ 08036-2730
Zip
08036-2730
Phone Number
609-267-1377
Hainesport, NJ 08036Get directions →

Provider Business Mailing Address Details

Address
1289 Route 38 Ste 203
Hainesport, NJ 08036-2730
City
Hainesport
State
NJ
Zip
08036-2730
Phone Number
609-267-1377

License Information

License Number
44SL07002000
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 Jaya J Russell, MSW, LSW?

The NPI number of Jaya J Russell, MSW, LSW is 1649055096. It was assigned on August 25, 2023 and is currently active in the NPPES registry.

What is the specialty of Jaya J Russell, MSW, LSW?

Jaya J Russell, MSW, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL07002000.

Where does Jaya J Russell, MSW, LSW practice?

The practice location is 1289 Route 38 Ste 203, Hainesport, NJ 08036-2730. The office can be reached at 609-267-1377 (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 1649055096 directly on the NPPES registry website.

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