Active NPI
Jennifer Hohn, LCSW
- Clinical Social Worker
- Saint James, NY
National Provider Identifier
1093906331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081792
- Practice address
- 363 Moriches Rd
Saint James, NY 11780-2001 - Phone
- (631) 974-1073
- NPI assigned
- Aug 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 073175-1 | NY | |
| Clinical Social Worker | 1041C0700X | 081792 | NY | Primary |
Addresses
Primary practice location
363 Moriches Rd
Saint James, NY 11780-2001
Mailing address
363 Moriches Rd
Saint James, NY 11780-2001
Phone (631) 974-1073
Other practice location 1
5505 Route 347
Mount Sinai, NY 11766-2037
Phone (631) 974-1073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03052242 | Medicaid | NY |
Other names 1
- Jennifer Manners
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073175-1 | NY | MD | Social Worker |
| 081792 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1093906331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 MORICHES RD",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117802001",
"telephone_number": "631-974-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 MORICHES RD",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117802001",
"telephone_number": "631-974-1073"
}
],
"practiceLocations": [
{
"address_1": "5505 Route 347",
"address_purpose": "LOCATION",
"city": "Mount Sinai",
"state": "NY",
"postal_code": "117662037",
"country_code": "US",
"telephone_number": "631-974-1073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOHN",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "073175-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03052242",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MANNERS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint James, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.