Individual provider Active NPI

Jean Marie Zelenko, MSW, LCSW

  • Clinical Social Worker
  • Newburgh, IN
National Provider Identifier
1154601656
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006270A Issued in IN
Practice address
333 State St Ste B
Newburgh, IN 47630-1270
Phone
(812) 598-3959
Fax
(812) 598-3959
NPI assigned
Aug 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006270A IN Primary

Addresses

Primary practice location

333 State St Ste B
Newburgh, IN 47630-1270

Mailing address

333 State St Ste B
Newburgh, IN 47630-1270
Phone (812) 598-3959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160701001430 IN Practitioner - Clinical Social Worker 7416249941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006270AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Confident Counseling Services of Newburgh CurrentSince Jun 1, 2016 Accepting new patients

Locations

333 State St
Ste B
Newburgh, IN 47630
Phone (812) 598-3959

5048 S Plaza Dr
Ste D
Newburgh, IN 47630
Phone (812) 598-3959

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1154601656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 STATE ST STE B",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476301270",
            "telephone_number": "812-598-3959",
            "fax_number": "812-598-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 STATE ST STE B",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476301270",
            "telephone_number": "812-598-3959",
            "fax_number": "812-598-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENKO",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-28",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006270A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.