MR. DAVID M WERNER – Social Worker, NPI 1710677307

MR. DAVID M WERNER is a healthcare provider. based in Jackson, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 114688 (NY). The NPI Number for MR. DAVID M WERNER is 1710677307

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID M WERNER
NPI
1710677307
Phone
(917) 578-4734
Address
17 IMPERIAL PL
Enumeration Date
9 May 2023
Last Update Date
9 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328866964
Graduation Year
2021 (5 years ago)
PAC ID
6709369069
Group Practice PAC ID
3274952114
Professional Enrollment ID
I20260313004278
Address ID
NJ087011254LA500XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,724 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for MR. DAVID M WERNER

  • 17 IMPERIAL PL

    JACKSON, NJ 085275176

    Phone: (917) 578-4734

    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: 2026-03-13

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
I20260313004278IClinical 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 08527)

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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: 3274952114View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Nurse PractitionerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What is the registry number for MR. DAVID M WERNER?
The registry entry for MR. DAVID M WERNER shows NPI 1710677307.
Is MR. DAVID M WERNER's NPI status active today?
Active status means MR. DAVID M WERNER's NPI record is not deactivated in the public file.
What type of care does MR. DAVID M WERNER provide?
MR. DAVID M WERNER's profile centers on Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. DAVID M WERNER?
MR. DAVID M WERNER shows a connection to Jackson, New Jersey in registry-derived data.
Why is information missing for MR. DAVID M WERNER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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