Active NPI
Jennifer Bair, LCSW
- Clinical Social Worker
- Victor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083490
- Practice address
- 6539 Anthony Dr Ste a
Victor, NY 14564-1441 - Phone
- (585) 398-8835
- Fax
- (585) 398-7376
- NPI assigned
- Jan 3, 2012
- Last updated
- May 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 083490 | NY | Primary |
Addresses
Primary practice location
6539 Anthony Dr Ste a
Victor, NY 14564-1441
Mailing address
6539 Anthony Dr Ste a
Victor, NY 14564-1441
Phone (585) 398-8835
Other practice location 1
150 East Dr
Copiague, NY 11726-5104
Phone (516) 972-7233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03003069 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Che Senior Psychological Services, PC | Clinical | Current | Accepting new patients |
| Knapp Street Psychiatry, PC | Clinical | Current | Accepting new patients |
| Welllife Network Inc | Current | Accepting new patients | |
| Christopher Dennis MD PLLC | Clinical | Current | Accepting new patients |
| Welllife Network Inc., | Current | Accepting new patients | |
| Welllife Network Inc. | Past | Accepting new patients |
Locations
2510 Westchester Ave
Fl 2
Bronx, NY 10461
Phone (718) 824-2790
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955
3600 Route 112
Coram, NY 11727
Phone (631) 854-2100
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
14202 20th Ave
#3
Flushing, NY 11351
14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516
800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450
55 Horizon Dr
Huntington, NY 11743
Phone (631) 396-2300
20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302
510 Clinton Sq
Rochester, NY 14604
Phone (561) 208-1970
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
11 Route 111
Smithtown, NY 11787
Phone (631) 656-9550
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Clinic/Center
- Huntington, NY
- NPI 1932125721
-
- Case Management Agency
- Elmont, NY
- NPI 1508012816
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1013287333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6539 ANTHONY DR STE A",
"city": "VICTOR",
"state": "NY",
"postal_code": "145641441",
"telephone_number": "585-398-8835",
"fax_number": "585-398-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6539 ANTHONY DR STE A",
"city": "VICTOR",
"state": "NY",
"postal_code": "145641441",
"telephone_number": "585-398-8835",
"fax_number": "585-398-7376"
}
],
"practiceLocations": [
{
"address_1": "150 East Dr",
"address_purpose": "LOCATION",
"city": "Copiague",
"state": "NY",
"postal_code": "117265104",
"country_code": "US",
"telephone_number": "516-972-7233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAIR",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03003069",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.