Individual provider Active NPI

Joana Jacques

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1205331980
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102076 Issued in NY
Practice address
2640 Pitkin Ave
Brooklyn, NY 11208-2763
Phone
(718) 827-8700
Fax
(718) 827-0550
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 102076 NY Primary

Addresses

Primary practice location

2640 Pitkin Ave
Brooklyn, NY 11208-2763

Mailing address

8402 Avenue J FL 2
Brooklyn, NY 11236-3822
Phone (917) 283-1358

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
I20220218000093 NY Practitioner - Clinical Social Worker 0648664557 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2640 Pitkin Ave
Brooklyn, NY 11208-2763
Phone (718) 277-0386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102076NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Consultation Center, Inc. CurrentSince Nov 30, 2024 Accepting new patients
Bailey House Inc CurrentSince Oct 26, 2022 Accepting new patients
Valera Medical, P.C. Social Worker CurrentSince Feb 10, 2022 Accepting new patients
Housing Works Services II, Inc CurrentSince Apr 24, 2025 Accepting new patients
Housing Works Health Services III, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Housing Works Services, Inc. Current Accepting new patients
Housing Works Services, Inc. CurrentSince Jun 19, 2025 Accepting new patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Lowr
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

9131 Queens Blvd
Ste 222
Elmhurst, NY 11373
Phone (718) 896-3400

145 E 125th St
Fl 4
New York, NY 10035
Phone (718) 249-0763

1751 Park Ave
Frnt 3
New York, NY 10035
Phone (212) 289-6008

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

Organizations & group practices 8

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1205331980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 AVENUE J FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363822",
            "telephone_number": "917-283-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082763",
            "telephone_number": "718-827-8700",
            "fax_number": "718-827-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "JOANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.