Individual provider Active NPI

Jacqueline Levine, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1194895532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
048211 Issued in NY
Practice address
4123 3Rd Ave
Bronx, NY 10457-6222
Phone
(718) 299-3045
Fax
(718) 716-2604
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Puerto Rican Family Institute, Inc. 10 clinicians
Visiting Counselors of New York, LCSW, PLLC 26 clinicians
Queens Psychotherapy LCSW Services P.C. 14 clinicians

Practice addresses (Care Compare)

130 W Tremont Ave
Bronx, NY 10453-5436
Phone (718) 299-3045

900 Walt Whitman Rd
Suite LL1
Melville, NY 11747-2215
Phone (516) 698-5511

9520 63Rd Rd
Suite J
Rego Park, NY 11374-1145
Phone 718459122518

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060503000108 NY Practitioner - Clinical Social Worker 0244240430 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Psychotherapy LCSW Services P.C. Clinical CurrentSince Nov 1, 2017 Accepting new patients
Puerto Rican Family Institute, Inc. CurrentSince Jan 12, 2005 Accepting new patients
Visiting Counselors of New York, LCSW, PLLC Clinical CurrentSince Nov 17, 2025 Accepting new patients
Puerto Rican Family Institute, Inc. Current Accepting new patients
Puerto Rican Family Institute, Inc. CurrentSince Jan 12, 2005 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Mar 12, 2012 Accepting new patients
Topaz Medical of New York PC Clinical CurrentSince Nov 1, 2025 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Mar 12, 2012 Accepting new patients
Puerto Rican Family Institute, Inc. Past Accepting new patients
Puerto Rican Family Institute Past Accepting new patients
Topaz Medical Group PA Clinical PastSince Oct 21, 2025 Accepting new patients

Locations

1 Washington Mall
#1341
Boston, MA 02108
Phone (877) 445-1587

4123 3rd Ave
Bronx, NY 10457
Phone (718) 299-3045

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

195 Plymouth St
Unit 408
Brooklyn, NY 11201
Phone (877) 445-1587

900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511

145 W 15th St
#2
New York, NY 10011
Phone (212) 924-6320

9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone (718) 459-5812

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 048211 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

4123 3Rd Ave
Bronx, NY 10457-6222

Mailing address

4123 3Rd Ave
Bronx, NY 10457-6222
Phone (718) 299-3045

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194895532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576222",
            "telephone_number": "718-299-3045",
            "fax_number": "718-716-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104576222",
            "telephone_number": "718-299-3045",
            "fax_number": "718-716-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "048211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.