Individual provider Active NPI

Jeanne Borromeo-Otty, LCSW-R

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1184000671
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079797 Issued in NY
Practice address
40 Colvin Ave FL 2
Albany, NY 12206-1104
Phone
(518) 605-7302
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 079797 NY Primary

Addresses

Primary practice location

40 Colvin Ave FL 2
Albany, NY 12206-1104

Mailing address

1362 State Route 143
Coeymans Hollow, NY 12046-2106
Phone (518) 755-6424

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
I20170215000418 NY Practitioner - Clinical Social Worker 4688981657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079797NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Interventions Strategies, LLC Multi-Specialty CurrentSince May 11, 2025 Accepting new patients
Valera Medical, P.C. Clinical CurrentSince Jan 6, 2025 Accepting new patients

Locations

40 Colvin Ave
Fl 2
Albany, NY 12206
Phone (518) 605-7302

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1184000671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 STATE ROUTE 143",
            "city": "COEYMANS HOLLOW",
            "state": "NY",
            "postal_code": "120462106",
            "telephone_number": "518-755-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COLVIN AVE FL 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061104",
            "telephone_number": "518-605-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORROMEO-OTTY",
        "first_name": "JEANNE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.