Active NPI
Jordan Jacob Margolis, LMSW
- Clinical Social Worker
- Roslyn, NY
National Provider Identifier
1215053590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R075958-1
- Practice address
- 1025 Northern Blvd
Roslyn, NY 11576 - Phone
- (631) 974-2351
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R075958-1 | NY | Primary |
Addresses
Primary practice location
1025 Northern Blvd
Roslyn, NY 11576
Mailing address
39 Strong Ave
Babylon, NY 11702
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
| License | State | Type | Specialty |
|---|---|---|---|
| R075958-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1215053590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 STRONG AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "11702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 NORTHERN BLVD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "11576",
"telephone_number": "631-974-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIS",
"first_name": "JORDAN",
"middle_name": "JACOB",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R075958-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.