MS. SARAH L JACK LCSW, LMSW
NPI 1104324490
Social Worker - Clinical in River Edge, NJ

Active since February 01, 2018PECOS Enrolled
1060 MAIN ST STE 303, RIVER EDGE, NJ 07661(201) 488-0408 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2020, Sep 10, 2019 (2 updates tracked since 2019).

About Ms. Sarah L Jack Lcsw, Lmsw NPPES

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

MS. SARAH L JACK LCSW, LMSW (NPI 1104324490) is an individual clinical provider in River Edge, New Jersey, licensed in New Jersey (44SC05883100) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Teaneck.

NPPES Registry Identity

NPI1104324490
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SARAH L JACKCredential: LCSW, LMSW
Location Address1060 MAIN ST STE 303River Edge, NJ 07661-2592
Mailing Address256 Sherman AveTeaneck, NJ 07666-3311 · (917) 568-8640
Sole ProprietorYes
Enumeration DateFebruary 1, 2018
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
NPI 1104324490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NJ · 44SC05883100 Licensed in NY · 052883-1
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.

1060 MAIN ST STE 303, River Edge, NJ 07661

Secondary Practice Location 1

Location 1256 Sherman AveTeaneck, NJ 07666-3311 · Phone (917) 568-8640

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Sarah L Jack Lcsw, Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07661 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1060 MAIN ST STE 303
RIVER EDGE, NJ 07661
Social Worker (Clinical)
1060 MAIN ST STE 303
RIVER EDGE, NJ 07661
Counselor (Professional)
1060 MAIN ST STE 303
RIVER EDGE, NJ 07661

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 Sarah Jack's NPI number?

The NPI number for Sarah Jack is 1104324490. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Where is Sarah Jack located?

Sarah Jack practices at 1060 Main St Ste 303, River Edge, NJ 07661. The listed phone number is (201) 488-0408.

What is Sarah Jack's specialty?

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

Is Sarah Jack enrolled in Medicare?

Yes. Sarah Jack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sarah Jack was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.