Active NPI
Joana Jacques
- Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 102076
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102076 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Consultation Center, Inc. | Current | Accepting new patients | |
| Bailey House Inc | Current | Accepting new patients | |
| Valera Medical, P.C. | Social Worker | Current | Accepting new patients |
| Housing Works Services II, Inc | Current | Accepting new patients | |
| Housing Works Health Services III, Inc. | Current | Accepting new patients | |
| Housing Works Services, Inc. | Current | Accepting new patients | |
| Housing Works Services, Inc. | Current | Accepting new patients | |
| Long Island Consultation Center | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1114950151
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1083820583
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1083647101
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1831122977
-
- Clinical Social Worker
- Elmhurst, NY
- NPI 1295878577
-
- Adult Mental Health Clinic/Center
- New York, NY
- NPI 1407418379
-
- Counselor
- Elmhurst, NY
- NPI 1356016703
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.