MS. JENNA R WEITZ (LSW) – Clinical Social Worker, NPI 1497408017

MS. JENNA R WEITZ (LSW) is a healthcare provider. based in Marlton, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW. They hold a License No. 44SL06418400 (NJ). The NPI Number for MS. JENNA R WEITZ (LSW) is 1497408017

Main info

Female
Sole Proprietor
8 Years Of Experience
Name
MS. JENNA R WEITZ (LSW)
NPI
1497408017
Phone
Not provided
Address
19 E MAIN ST STE A
Enumeration Date
2 February 2022
Last Update Date
2 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8567510505
Graduation Year
2018 (8 years ago)
PAC ID
0840710943
Group Practice PAC ID
3173835097
Professional Enrollment ID
I20250219003019
Address ID
NJ080032150CH1930XEXXX405

Contacts

Other Endpoint
securerecords.sanford.html
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

2,724 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for MS. JENNA R WEITZ (LSW)

  • 19 E MAIN ST STE A

    MARLTON, NJ 080532172

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250219003019IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08053)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173835097View full group profile
NameSpecialtyState
-NJ
-NJ
-NJ
Clinical Social WorkerNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ
-NJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

How do payers reference MS. JENNA R WEITZ (LSW)?
For MS. JENNA R WEITZ (LSW), use NPI 1497408017 as the unique 10-digit identifier.
Would MS. JENNA R WEITZ (LSW) appear as active to a payer?
You can treat MS. JENNA R WEITZ (LSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MS. JENNA R WEITZ (LSW)?
MS. JENNA R WEITZ (LSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is MS. JENNA R WEITZ (LSW) associated with Marlton?
Public fields place MS. JENNA R WEITZ (LSW) around Marlton, New Jersey. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MS. JENNA R WEITZ (LSW) is noted as February 2, 2022 where the registry provides it.

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