Jessica Repko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075792 Issued in NY

Practice address

251 New Karner Rd
Suite 19
Albany, NY 12205-4617

Phone

(518) 506-7956

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1023218310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 NEW KARNER RD",
            "address_2": "BOX 604",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054617",
            "telephone_number": "518-506-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 NEW KARNER RD",
            "address_2": "SUITE 19",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054617",
            "telephone_number": "518-506-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKO",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "075792",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Aaron Rene, LMSW
• Jacqueline Rhea Rennick, PA
• Chelsea Lynne Reno, MS
• Ronald Wayne Renshtie, PMHNP-BC
• Rohit T Repala, M.D.
• Daniel Rockwell Resnick, NP
• Susan Rest, AU. D
• Deena Restifo, RDH
• Resurrection Ministries (Compassion In Action Behavioral Health)
• Retina Vitreous Specialists, P.C.

• Clinical Social Worker in Albany, NY
• Providers in Albany, 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 Sep 1, 2009; 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.