Individual
JACQUELINE CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
514 MILLBURN AVE # 2009, SHORT HILLS, NJ 07078-2508
(848) 999-4244
Mailing address
514 MILLBURN AVE # 2009, SHORT HILLS, NJ 07078-2508
(908) 460-8003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05758500
NJ
Other
Enumeration date
05/18/2015
Last updated
05/08/2026
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