Active NPI
Jayne Stephanie Polokoff, MSW
- Social Worker
- Chester, NY
National Provider Identifier
1124541495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 837 Craigville Road
Chester, NY 10918 - Phone
- (845) 699-4786
- NPI assigned
- Jul 19, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
837 Craigville Road
Chester, NY 10918
Mailing address
837 Craigville Rd
Chester, NY 10918-4113
Phone (845) 699-4786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BV34567 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124541495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 CRAIGVILLE RD",
"city": "CHESTER",
"state": "NY",
"postal_code": "109184113",
"telephone_number": "845-699-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 CRAIGVILLE ROAD",
"city": "CHESTER",
"state": "NY",
"postal_code": "10918",
"telephone_number": "845-699-4786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLOKOFF",
"first_name": "JAYNE",
"middle_name": "STEPHANIE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BV34567",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.