Individual provider Active NPI

Jezebel Walter, LMSW

  • Social Worker
  • Hastings on Hudson, NY
National Provider Identifier
1134650757
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
054433 Issued in NY
Practice address
78 Main Street
Family Services of Westchester - Echo Hills
Hastings-on-Hudson, NY 10706
Phone
(914) 274-8334
NPI assigned
Mar 24, 2017
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 054433 NY Primary

Addresses

Primary practice location

78 Main Street
Family Services of Westchester - Echo Hills
Hastings-on-Hudson, NY 10706

Mailing address

346 Heritage HLS Unit B
Somers, NY 10589-1738
Phone (917) 576-8877

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

State licenses

LicenseStateTypeSpecialty
054433NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1134650757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 HERITAGE HLS UNIT B",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105891738",
            "telephone_number": "917-576-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN STREET",
            "address_2": "FAMILY SERVICES OF WESTCHESTER - ECHO HILLS",
            "city": "HASTINGS-ON-HUDSON",
            "state": "NY",
            "postal_code": "10706",
            "telephone_number": "914-274-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JEZEBEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "054433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.