Individual
MRS. JAYNE SPENGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
3 CLYDE RD STE 202, SOMERSET, NJ 08873-3474
(908) 947-6136
Mailing address
3 CLYDE RD STE 202, SOMERSET, NJ 08873-3474
(908) 947-6136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SCO5611500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID PROVIDER #
NJ
01
—
47-2771193
TAX ID
NJ
01
—
527486
AGENCY MEDICARE PROVIDER #
NJ
01
—
P01705806
RAILROAD MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
NJ
Enumeration date
06/10/2010
Last updated
11/04/2024
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