Individual provider Active NPI

Jenny Mintz, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1164813473
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087034 Issued in NY
Practice address
94-98 Manhattan Avenue
Brooklyn, NY 11206
Phone
(718) 388-0390
Fax
(718) 486-5741
NPI assigned
Feb 9, 2015
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092612 NY
Clinical Social Worker 1041C0700X 087034 NY Primary

Addresses

Primary practice location

94-98 Manhattan Avenue
Brooklyn, NY 11206

Mailing address

60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2400

Other practice location 1

2527 Glebe Ave
Bronx, NY 10461-3109
Phone (718) 904-4400

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
I20190522000331 NY Practitioner - Clinical Social Worker 6507109139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

94 -98 Manhattan Ave
Brooklyn, NY 11206-2501
Phone (718) 388-0390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092612NYMDSocial Worker
087034NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network Inc CurrentSince Feb 1, 2024 Accepting new patients
Community Healthcare Network Inc Current Accepting new patients

Locations

1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303

8944 164th St
Jamaica, NY 11432
Phone (718) 523-2123

9704 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 657-7088

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jenny.mintz@chn.eclinicaldirectplus.com

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1164813473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400",
            "fax_number": "917-471-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-98 MANHATTAN AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-388-0390",
            "fax_number": "718-486-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2527 Glebe Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104613109",
            "country_code": "US",
            "telephone_number": "718-904-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "JENNY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092612",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.