Active NPI
Jonathan Ailsworth
- Clinical Social Worker
- Ithaca, NY
National Provider Identifier
1124978176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13998
- Practice address
- 113 Village Cir Apt C
Ithaca, NY 14850-8595 - Phone
- (901) 406-8693
- NPI assigned
- Jan 30, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13998 | TN | Primary |
Addresses
Primary practice location
113 Village Cir Apt C
Ithaca, NY 14850-8595
Mailing address
113 Village Cir Apt C
Ithaca, NY 14850-8595
Phone (901) 406-8693
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": "1769731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1124978176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 VILLAGE CIR APT C",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508595",
"telephone_number": "901-406-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 VILLAGE CIR APT C",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508595",
"telephone_number": "901-406-8693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AILSWORTH",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-30",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "13998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.