Individual provider Active NPI

Jenna Nicole Golden, MSW, LSW

  • Social Worker
  • Olean, NY
National Provider Identifier
1194262816
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW132936 Issued in PA
Practice address
1 Leo Moss Dr
Olean, NY 14760-1100
Phone
(716) 373-8040
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW132936 PA Primary

Addresses

Primary practice location

1 Leo Moss Dr
Olean, NY 14760-1100

Mailing address

1 Leo Moss Dr
Olean, NY 14760-1100
Phone (716) 373-8040

Other practice location 1

181 Davis St
Bradford, PA 16701-1305
Phone (814) 598-5011

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
I20240115000110 NY Practitioner - Clinical Social Worker 2961854096 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
Telehealth
Offers telehealth services
Group practices
County of Cattaraugus 10 clinicians

Practice addresses (Care Compare)

1 Leo Moss Dr
Suite 4308
Olean, NY 14760-1100
Phone (716) 373-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW132936PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Cattaraugus County Treasurer CurrentSince Nov 21, 2023 Accepting new patients
County of Cattaraugus Social Worker CurrentSince Nov 21, 2023 Accepting new patients

Locations

1 Leo Moss Dr
Ste 4308
Olean, NY 14760
Phone (716) 373-8040

Organizations & group practices 6

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194262816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-373-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-373-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Davis St",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011305",
            "country_code": "US",
            "telephone_number": "814-598-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.