Jaclyn Fleitz

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103190 Issued in NY

Practice address

75 New Scotland Ave
Albany, NY 12208

Phone

(518) 549-6369

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1124437157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 RUSSELL RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-549-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Rose St",
            "address_purpose": "LOCATION",
            "city": "Poughquag",
            "state": "NY",
            "postal_code": "125705733",
            "country_code": "US",
            "telephone_number": "845-226-8549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Rose St",
            "address_purpose": "LOCATION",
            "city": "Poughquag",
            "state": "NY",
            "postal_code": "12570",
            "country_code": "US",
            "telephone_number": "845-226-8549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEITZ",
        "first_name": "JACLYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103190",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Flaim, MD
• Kathleen Joan Flanigan, LCSW
• Terrence Flannery, M.D.
• James M Fleeman, LMSW
• Jessica C Fleishman, MD
• Carolyn Anneemery Fleming, PT
• Joanne Fleming, LPN
• McKenna Fleming, MS,OTR
• Kathleen E Flemming, RN
• Lawrence H Flesh, M.D.

• Social Worker in Albany, NY
• Providers in Albany, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.