JESSICA FAWN AMBROSINI (NPI# 1093216962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093216962 |
| Entity Type | Individual |
| Full Name | JESSICA FAWN AMBROSINI |
| Credential | LSW |
| Practice Address |
145 Mortimer Ave Rutherford NJ 07070-1614 |
| Mailing Address |
210 Boulevard Fl 2 Hasbrouck Heights NJ 07604-1802 |
| Practice Telephone | 2013997225 |
| Mailing Telephone | 2012865910 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SL05792200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
145 MORTIMER AVE |
| City | RUTHERFORD |
| State | NJ |
| Zip Code | 07070-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528601796 | Casey Cresbaugh | Orthopaedic Surgery | 201 Nj-rt 17, Suite 1202, Rutherford, NJ 07070 | 2019-10-21 |
| 1407317019 | Riverside Surgical Center of Meadowlands, LLC | Clinic/Center | 201 Nj-17, 12th Floor, Rutherford, NJ 07070 | 2019-03-27 |
| 1124437975 | Valerie Pagan | Orthotic Fitter | 154 Union Ave Apt 23, Rutherford, NJ 07070 | 2014-08-06 |
| 1437592946 | Brett Bielory | Ophthalmology | 201 17 North, Suite 1202, Rutherford, NJ 07070 | 2013-04-15 |
| 1427317437 | Jose Manuel Rodriguez | Counselor | 89 Ridge Rd. Suite 4, North Arlington, NJ 07070 | 2012-05-10 |
| 1649565987 | Rahul Gurbux Matnani | Pathology | 201 Route 17 Fl 2, Rutherford, NJ 07070 | 2011-06-15 |
| 1750523379 | Preethi Venugopal Ramaswamy | Dermatology | 201 New Jersey 17, 11th Floor, Rutherford, NJ 07070 | 2009-03-27 |
| 1457545675 | Rutherford Allied Medical Group | Chiropractor | 323 Union Avenue, Rutherford, NJ 07070 | 2007-08-30 |
| 1861612012 | Meadowlands Dental Association | Dentist | 17 Sylvan Street, Suite 205, Rutherford, NJ 07070 | 2007-04-30 |
| 1477672327 | Robert S Freda | Chiropractor | 287 Park Avenue, Rutherford, NJ 07070 | 2007-03-29 |
| Find all providers in zip 07070 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761577 | Yvonne Mouzakes | Social Worker | 178 Ridge Rd, Rutherford, NJ 07070-2426 | 2016-06-15 |
| 1376815373 | Mary Huss Zetelski | Social Worker | 46 Montross Ave, Rutherford, NJ 07070-1108 | 2012-02-07 |
| 1003024217 | Cindy Carla Gelber | Social Worker | 42 Park Ave Fl 2, Rutherford, NJ 07070-1714 | 2007-05-19 |
| 1780700054 | Queenie Vartoukian | Social Worker | 118 Union Ave, Rutherford, NJ 07070-1124 | 2007-03-21 |
| 1093827677 | Alexander Park Thomson Jr. | Social Worker | 246 Woodward Ave, Rutherford, NJ 07070 | 2006-08-31 |
| 1316050784 | Raisa Sommers | Social Worker | 466 Stuyvesant Ave, Rutherford, NJ 07070 | 2006-08-17 |
| 1134735640 | 4bienestar LLC | Social Worker | 305 Park Ave # 2, Rutherford, NJ 07070-2748 | 2020-09-20 |
| 1538606033 | Ronald Orinick | Social Worker | 1 Orient Way, Suite 324f, Rutherford, NJ 07070-2524 | 2017-01-23 |
| 1316362049 | Esther Denise Meza | Social Worker | 200 Park Ave, Rutherford, NJ 07070-2347 | 2014-03-05 |
| 1356779334 | Emily Kaitlin Austein | Social Worker | 17 Sylvan St, 103 A, Rutherford, NJ 07070-2037 | 2013-10-29 |
| Find all providers in RUTHERFORD | ||||
| City | RUTHERFORD |
| Zip Code | 07070 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.