Provider Demographics
NPI:1205842283
Name:GILBERT, JENNIFER LYN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SHIPPEN RDG
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07863-3238
Mailing Address - Country:US
Mailing Address - Phone:908-347-6662
Mailing Address - Fax:908-850-6364
Practice Address - Street 1:486 SCHOOLEYS MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4000
Practice Address - Country:US
Practice Address - Phone:908-850-4552
Practice Address - Fax:908-850-6364
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045327001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11421390Medicare UPIN
NJ535340Medicare UPIN
NJ21252924663Medicare UPIN
NJP3555085Medicare UPIN
NJ353348Medicare UPIN