Abby Jeffrey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080997 Issued in NY

Practice address

9138 71St Ave
Forest Hills, NY 11375-6705

Phone

(718) 704-8293

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Abby Bushlow Former name

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1104112622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 71ST AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756705",
            "telephone_number": "718-704-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 71ST AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756705",
            "telephone_number": "718-704-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "ABBY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "BUSHLOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Y Jean-Bart, MD
• Rebecca Jean-Francois
• Deborah S Jean
• Mirline Jean
• Jeffrey Kass DPM PC
• Takiera Donella Jeffrey
• Rose Jehamy
• Yeonhwa Jeong
• Jetset Transportation Corp
• Jett Chiropractic Health Care, P.C.

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 Jun 1, 2023; 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.