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NPI Code Detail

MEDICARE: MRS. JENNIFER STRATTON LCSW

MEDICARE: MRS. JENNIFER STRATTON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC05360100NJ

General Provider Information

NPI Number : 1104057330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER STRATTON LCSW
Provider Business Mailing Address
First Line : 1162 RINGWOOD AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-2326
Country : US
Telephone Number : 201-316-4603
Fax Number :
Provider Business Practice Location Address
First Line : 16 POMPTON AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1895
Country : US
Telephone Number : 973-835-6337
Fax Number : 973-616-4688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2009
Last Update Date : 12/07/2025

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