Active NPI
Chasity Jenkins
- Social Worker
- Riverhead, NY
National Provider Identifier
1174482772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 130480
- Practice address
- 170 Old Country Rd
Riverhead, NY 11901-2198 - Phone
- (631) 208-4460
- NPI assigned
- Jan 19, 2026
- Last updated
- Jan 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 130480 | NY | Primary |
Addresses
Primary practice location
170 Old Country Rd
Riverhead, NY 11901-2198
Mailing address
23 B St
Laurel, MD 20707-4191
Phone (917) 568-5348
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
| License | State | Type | Specialty |
|---|---|---|---|
| 130480 | NY | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1174482772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 B ST",
"city": "LAUREL",
"state": "MD",
"postal_code": "207074191",
"telephone_number": "917-568-5348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012198",
"telephone_number": "631-208-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "CHASITY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-19",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "130480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
- Jca Optical (Pearle Vision Center)
- JCM Physical Therapy PC
- Jeffrey L. Schulman DDS and Jules Shteierman DDS PC
- Jeffrey Nazar D.C., P.C.
- Jeffrey S. Williams, Jr (Jeffrey S. Williams, Jr. OD)
- Jennifer R Hill MD PLLC (Suffolk Pelvic Medicine)
- Tamara Jhingoorie, M.S., CCC-SLP
- JLC Optical Corp (Cohens Fashion Optical)
- JLC Optical, Corp (cohen's fashion optical)
- John P. Franzone,MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.