Jennifer A Neely, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078332 Issued in NY

Practice address

928 Broadway Ste 500
New York, NY 10010-8148

Phone

(212) 242-0231

NPI assigned

Jan 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1013211721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PERRY ST.",
            "address_2": "APT. 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142797",
            "telephone_number": "212-242-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108148",
            "telephone_number": "212-242-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Needhidass, PA
• Haley Liza Needle
• Michael Neil Needle, M.D.
• Suhasini Neelam Satish, PA-C
• Ericka Neely
• Michael J Neely, D.O.
• Neena Agarwala, MD PC
• Laura Marie Neenan, MA-SLP
• Rose Neequaye, RN
• Abigail Neer

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.