Active NPI
Jennifer Aldrich, LCSW
- Social Worker
- Wyandanch, NY
National Provider Identifier
1013307800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092639
- Practice address
- 240A Long Island Ave
Wyandanch, NY 11798-3123 - Phone
- (631) 669-5355
- NPI assigned
- Jan 31, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 086746 | NY | |
| Social Worker | 104100000X | 092639 | NY | Primary |
Addresses
Primary practice location
240A Long Island Ave
Wyandanch, NY 11798-3123
Mailing address
1 Route 109
West Babylon, NY 11704-6207
Phone (631) 669-5355
Other practice location 1
30 Bowling Ln
Levittown, NY 11756-4717
Phone (516) 841-3271
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092639 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Risewell Community Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- West Babylon, NY
- NPI 1346433307
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Medford, NY
- NPI 1609383389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1013307800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROUTE 109",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117046207",
"telephone_number": "631-669-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240A LONG ISLAND AVE",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117983123",
"telephone_number": "631-669-5355"
}
],
"practiceLocations": [
{
"address_1": "30 Bowling Ln",
"address_purpose": "LOCATION",
"city": "Levittown",
"state": "NY",
"postal_code": "117564717",
"country_code": "US",
"telephone_number": "516-841-3271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALDRICH",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-31",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "086746",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyandanch, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.