Individual provider Active NPI

Jason Louchery Hill, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1003254426
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090164-01 Issued in NY
Practice address
1090 Saint Nicholas Ave
New York, NY 10032-3809
Phone
(212) 543-4445
NPI assigned
Jun 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090164-01 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23971 NY

Addresses

Primary practice location

1090 Saint Nicholas Ave
New York, NY 10032-3809

Mailing address

1090 Saint Nicholas Ave
New York, NY 10032-3809
Phone (212) 543-4445

Other practice location 1

119 W 124th St
2nd floor
New York, NY 10027-4920
Phone (212) 932-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 15, 2024 through Apr 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23971NYMDAddiction (Substance Use Disorder) Counselor
090164NYMDSocial Worker
090164-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families and Individuals in Recovery PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1003254426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323809",
            "telephone_number": "212-543-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323809",
            "telephone_number": "212-543-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 W 124th St",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274920",
            "country_code": "US",
            "telephone_number": "212-932-2819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "JASON",
        "middle_name": "LOUCHERY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090164-01",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.