Active NPI
Jodi Yaeger
- Social Worker
- Rockaway Beach, NY
National Provider Identifier
1063717270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 082739-1
- Practice address
- 9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1317 - Phone
- (718) 474-2478
- Fax
- (717) 474-2165
- NPI assigned
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 082739-1 | NY | Primary |
Addresses
Primary practice location
9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1317
Mailing address
15 Tameling Rd
East Rockaway, NY 11518-2114
Phone (516) 595-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082739-1 | NY | MD | Social Worker |
| 082697 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1063717270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 TAMELING RD",
"city": "EAST ROCKAWAY",
"state": "NY",
"postal_code": "115182114",
"telephone_number": "516-595-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9502 ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "116931317",
"telephone_number": "718-474-2478",
"fax_number": "717-474-2165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAEGER",
"first_name": "JODI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "082739-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.