Individual provider Active NPI

Jiayang Xu, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1194427088
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118927 Issued in NY
Practice address
15 W 39TH St FL 2
New York, NY 10018-0637
Phone
(212) 564-6006
Fax
(332) 205-6207
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 118927 NY Primary

Addresses

Primary practice location

15 W 39TH St FL 2
New York, NY 10018-0637

Mailing address

4220 24TH St Apt 34B
Long Island City, NY 11101-4652
Phone (201) 885-9522

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

LicenseStateTypeSpecialty
118927NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harlem Family Services, Inc CurrentSince Mar 26, 2023 Accepting new patients

Locations

15 W 39th St
Fl 2
New York, NY 10018
Phone (212) 564-6006

Organizations & group practices 1

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1194427088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 24TH ST APT 34B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014652",
            "telephone_number": "201-885-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 39TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100180637",
            "telephone_number": "212-564-6006",
            "fax_number": "332-205-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JIAYANG",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.