Individual provider Active NPI

Jill Abramson, LCSW, CASAC

  • Clinical Social Worker
  • Westhampton Beach, NY
National Provider Identifier
1184822173
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO46044-1 Issued in NY
Practice address
12 Oak St
Office #3
Westhampton Beach, NY 11978-2020
Phone
(917) 439-6439
Fax
(866) 569-0060
NPI assigned
Jul 11, 2007
Last updated
Jan 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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 RO46044-1 NY Primary

Addresses

Primary practice location

12 Oak St
Office #3
Westhampton Beach, NY 11978-2020

Mailing address

59 Pameeches Path
East Moriches, NY 11940-1313
Phone (917) 439-6439

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
I20151106001910 NY Practitioner - Clinical Social Worker 5496065211 Practice locations: New York, NY; Riverhead, NY; Westhampton Beach, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 Oak St
Suite 3
Westhampton Beach, NY 11978-2020
Phone (917) 439-6439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO46044-1NYMDClinical Social Worker
046044NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1184822173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PAMEECHES PATH",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401313",
            "telephone_number": "917-439-6439",
            "fax_number": "866-569-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OAK ST",
            "address_2": "OFFICE #3",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119782020",
            "telephone_number": "917-439-6439",
            "fax_number": "866-569-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMSON",
        "first_name": "JILL",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO46044-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

Verify at the official NPI Registry.