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MR. DAVID M WERNER
NPI 1710677307
Social Worker in Jackson, NJ

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment
17 IMPERIAL PL, JACKSON, NJ 08527(917) 578-4734 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. David M Werner NPPES

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

MR. DAVID M WERNER (NPI 1710677307) is an individual social worker in Jackson, New Jersey, licensed in New York (114688) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1710677307
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. DAVID M WERNER
Location Address17 IMPERIAL PLJackson, NJ 08527-5176
Mailing Address17 Imperial PlJackson, NJ 08527-5176 · (917) 578-4734
Phone(917) 578-4734
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 9, 2023
NPPES CertifiedMay 9, 2023
✔ NPI 1710677307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 114688
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
17 IMPERIAL PL, Jackson, NJ 08527
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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 and accepts Medicare assignment

Mr. David M Werner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709369069
PECOS Enrollment IDI20260313004278
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 Reassignments

2

Medicare enrollment records show David Werner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakewood Community Services Corp.
4.9 mi
Community/Behavioral Health
500 W KENNEDY BLVD
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group
NPI 1093085649 (732) 901-6001
New York Counseling For Change, LLC
49 mi
Mental Health (Including Community Mental Health Center)
3046 NORTHERN BLVD
Long Island City, NY 11101
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
NPI 1104456649 (718) 424-6191

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

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 David Werner's NPI number?

The NPI number for David Werner is 1710677307. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is David Werner located?

David Werner practices at 17 Imperial Pl, Jackson, NJ 08527. The listed phone number is (917) 578-4734.

What is David Werner's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is David Werner enrolled in Medicare?

Yes. David Werner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Werner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Werner reassigns Medicare benefits to 2 organizations: Lakewood Community Services Corp. (Lakewood, NJ) and New York Counseling For Change, LLC (Long Island City, NY). Each 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 David Werner'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 David Werner was last updated on May 9, 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.