Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonnelle Tavarez, LSW

Individual provider Social Worker · NPI 1962287672

Jonnelle Tavarez, LSW is a Clinical Social Worker in Hamilton, New Jersey. Qualified in 2014, 12 years ago. Practices with Mind Your Mind, a 22-clinician group. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2023
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone: (609) 222-4902
Fax: (640) 888-7533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL06029000 (NJ)

Record details

NPI number1962287672
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedAugust 30, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address408 Habitat Way, Sanford, FL 32773-4340

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mind Your Mind — 22 clinicians
Accepts Medicare assignment Not indicated

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