Organization Active NPI

Jennifer a. Crider, LCSW, PLLC

  • Clinical Social Worker
  • Liverpool, NY
National Provider Identifier
1093305708
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JENNIFER A. CRIDER, LCSW, PLLC
Practice address
209 2ND St Ste 2a
Liverpool, NY 13088-5146
Phone
(315) 944-0379
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Jennifer A Hunter, LCSWNPI 1891316964
Title
Owner
Phone
(315) 944-0379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

209 2ND St Ste 2a
Liverpool, NY 13088-5146

Mailing address

4985 Blacksmith Path
Liverpool, NY 13088-4703
Phone (315) 944-0379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224001876 NY Part B Supplier - Clinic/Group Practice 8921413956 Receives reassigned benefits from 1 practitioner
Practice locations: Liverpool, NY

National Provider Directory

National Provider Directory

Locations

290 Elwood Davis Rd
Ste 29018
Liverpool, NY 13088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1093305708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 BLACKSMITH PATH",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884703",
            "telephone_number": "315-944-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 2ND ST STE 2A",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885146",
            "telephone_number": "315-944-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER A. CRIDER, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-944-0379",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.