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JILLIAN DEBENEDETTO LCSW
NPI 1073861209
Social Worker - Clinical in Jersey City, NJ

Active since August 20, 2012PECOS Enrolled
FORT HEALTH MEDICAL GROUP 613 WASHING BLVD., #1297, JERSEY CITY, NJ 10314(201) 208-2616 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jillian Debenedetto Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN DEBENEDETTO LCSW (NPI 1073861209) is an individual clinical provider in Jersey City, New Jersey, licensed in New Jersey (44SC06143700) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073861209
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJILLIAN DEBENEDETTOCredential: LCSW
Location AddressFORT HEALTH MEDICAL GROUP 613 WASHING BLVD., #1297Jersey City, NJ 10314-1509
Mailing Address108 Highland AveJersey City, NJ 07306-5802 · (732) 610-3238
Phone(201) 208-2616
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 20, 2012
Last NPPES UpdateDecember 22, 2022
NPPES CertifiedDecember 20, 2022
✔ NPI 1073861209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC06143700
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
FORT HEALTH MEDICAL GROUP 613 WASHING BLVD., Jersey City, NJ 10314
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Debenedetto Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385173434
PECOS Enrollment IDI20250117003883
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jillian Debenedetto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baker Street Behavioral Health
20 mi
Clinical
851 FRANKLIN LAKE RD STE 204
Franklin Lakes, NJ 07417
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
NPI 1659841096 (201) 660-8270

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Debenedetto's NPI number?

The NPI number for Jillian Debenedetto is 1073861209. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Where is Jillian Debenedetto located?

Jillian Debenedetto practices at Fort Health Medical Group 613 Washing Blvd. #1297, Jersey City, NJ 10314. The listed phone number is (201) 208-2616.

What is Jillian Debenedetto's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jillian Debenedetto enrolled in Medicare?

Yes. Jillian Debenedetto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jillian Debenedetto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Debenedetto reassigns Medicare benefits to Baker Street Behavioral Health (Franklin Lakes, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jillian Debenedetto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jillian Debenedetto was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.