JAKE SUSSMAN LCSW
NPI 1245935931
Social Worker - Clinical in Mountainside, NJ

Active since April 03, 2023
615 SHERWOOD PKWY, MOUNTAINSIDE, NJ 07092(732) 991-7248 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jake Sussman Lcsw NPPES

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

JAKE SUSSMAN LCSW (NPI 1245935931) is an individual clinical provider in Mountainside, New Jersey, licensed in New Jersey (44SC06194300) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1245935931
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAKE SUSSMANCredential: LCSW
Location Address615 SHERWOOD PKWYMountainside, NJ 07092-2525
Mailing Address615 Sherwood PkwyMountainside, NJ 07092-2525 · (732) 991-7248
Sole ProprietorYes
Enumeration DateApril 3, 2023
NPPES CertifiedApril 2, 2023
NPI 1245935931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · 44SC06194300
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.
615 SHERWOOD PKWY, Mountainside, NJ 07092

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
615 SHERWOOD PKWY
MOUNTAINSIDE, NJ 07092
Psychologist (Clinical)
615 SHERWOOD PKWY
MOUNTAINSIDE, NJ 07092
Social Worker (Clinical)
615 SHERWOOD PKWY
MOUNTAINSIDE, NJ 07092
Social Worker (Clinical)
615 SHERWOOD PKWY
MOUNTAINSIDE, NJ 07092

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 Jake Sussman's NPI number?

The NPI number for Jake Sussman is 1245935931. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Jake Sussman located?

Jake Sussman practices at 615 Sherwood Pkwy, Mountainside, NJ 07092. The listed phone number is (732) 991-7248.

What is Jake Sussman's specialty?

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

When was this NPI record last updated?

The NPPES record for Jake Sussman was last updated on April 3, 2023. 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.