Individual provider Active NPI

Jennifer M Schwenkbeck, PH.D. , LCSW R

  • Psychologist
  • Hamburg, NY
National Provider Identifier
1164574190
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
028530-01 Issued in NY
Practice address
229 Main St
Hamburg, NY 14075-4915
Phone
(716) 238-1236
NPI assigned
Jan 18, 2007
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0538141 NY
Psychologist 103T00000X 028530-01 NY Primary

Addresses

Primary practice location

229 Main St
Hamburg, NY 14075-4915

Mailing address

4717 Edgewood Ter
Eden, NY 14057-9756
Phone (716) 238-1236

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
I20180619002410 NY Practitioner - Clinical Social Worker 3971858754 Practice locations: Hamburg, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
028530-01NYMDPsychologist
R0538141NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Adolescent Treatment Services Inc Mental Health Past Accepting new patients
Discover Chiropractic PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1164574190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 EDGEWOOD TER",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579756",
            "telephone_number": "716-238-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 MAIN ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754915",
            "telephone_number": "716-238-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWENKBECK",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D. , LCSW R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0538141",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "028530-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.