Individual provider Active NPI

Jennifer Hohn, LCSW

  • Clinical Social Worker
  • Saint James, NY
National Provider Identifier
1093906331
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081792 Issued in NY
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

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03052242MedicaidNY

Other names 1

  • Jennifer Manners Former name

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

LicenseStateTypeSpecialty
073175-1NYMDSocial Worker
081792NYMDClinical 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.

Verify at the official NPI Registry.