Jay S. Ulrich, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R051436-1 Issued in NY

Practice address

209 Park Street
Citizen Advocates
Malone, NY 12953

Phone

(518) 483-3261

Fax

(518) 483-3383

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Citizen Advocates, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malone, NY
  • NPI 1780619064
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104991009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WELLER RD",
            "city": "NORTH BANGOR",
            "state": "NY",
            "postal_code": "129663714",
            "telephone_number": "518-481-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PARK STREET",
            "address_2": "CITIZEN ADVOCATES",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "12953",
            "telephone_number": "518-483-3261",
            "fax_number": "518-483-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "JAY",
        "middle_name": "S.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051436-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramneesh Trehan, MD
• Tri-Lakes Home Medical Equipment, Inc.
• Bryan Joseph Trombley, PHARM.D.
• Kristen Ann Trombley, PHARMD
• Tracy A Trudel, DC
• University of Vermont Medical Group New York PLLC
• Stephen John Vancour II
• Noel Varghese, D.O.
• Jill F. Vaughan
• Abra J Vermette

• Clinical Social Worker in Malone, NY
• Providers in Malone, 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 Jul 8, 2007; 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.