Active NPI
Jessica St. John, MSW
- Social Worker
- New York, NY
National Provider Identifier
1225769763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 113 University PL
New York, NY 10003-4527 - Phone
- (917) 960-9500
- NPI assigned
- Jun 23, 2022
- Last updated
- Jun 23, 2022
- 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 | Primary |
Addresses
Primary practice location
113 University PL
New York, NY 10003-4527
Mailing address
301 E 79TH St Apt 24E
New York, NY 10075-0945
Phone (401) 829-8505
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cassandra Reid LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1225769763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 79TH ST APT 24E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750945",
"telephone_number": "401-829-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 UNIVERSITY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034527",
"telephone_number": "917-960-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. JOHN",
"first_name": "JESSICA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Stephen St. James, DDS
- St. Jesus Pharmacy Corp (St Jesus Pharmacy LTC)
- St. Jesus Pharmacy Corp (St. Jesus Pharmacy)
- Evelyne Magali St. John Sutton, M.D.
- Dora-Lisah St. John, LMSW
- Nicole St. John, OTR/L
- Robert Michael St. Jules, M.D.
- Jendayi St. Juste
- St. Luke's - West Care Medical Associates
- St. Luke's Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.