Healthcare Provider Details

I. General information

NPI: 1174305254
Provider Name (Legal Business Name): JENNIFER HELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 LOLA LN
CAPE MAY NJ
08204-5115
US

IV. Provider business mailing address

31 LOLA LN
CAPE MAY NJ
08204-5115
US

V. Phone/Fax

Practice location:
  • Phone: 609-224-4411
  • Fax:
Mailing address:
  • Phone: 609-224-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL06721000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: