Individual provider Active NPI

Jennifer Paige Newman, LCSW

  • Clinical Social Worker
  • East Meadow, NY
National Provider Identifier
1154858462
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P061576-1 Issued in NY
Practice address
1774 Esposito CT
East Meadow, NY 11554-4923
Phone
(516) 292-8008
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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 P061576-1 NY Primary

Addresses

Primary practice location

1774 Esposito CT
East Meadow, NY 11554-4923

Mailing address

1774 Esposito CT
East Meadow, NY 11554-4923
Phone (516) 292-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170712002985 NY Practitioner - Clinical Social Worker 2567731169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Living Behavioral Health LCSW PLLCGroup PAC ID 9931482247, 17 clinicians

Practice addresses (Care Compare)

1065 Smithtown Ave
Bohemia, NY 11716-3800
Phone (631) 567-3113

117 Post Ave
Westbury, NY 11590-3178
Phone (914) 681-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P061576-1NYMDClinical Social Worker
061576NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Jun 1, 2017 Accepting new patients
Senior Living Behavioral Health, PLLC Clinical Past Accepting new patients

Locations

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

747 3rd Ave
Fl 2
New York, NY 10017
Phone (516) 387-2375

Organizations & group practices 2

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1154858462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 ESPOSITO CT",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544923",
            "telephone_number": "516-292-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 ESPOSITO CT",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544923",
            "telephone_number": "516-292-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JENNIFER",
        "middle_name": "PAIGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P061576-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.