Jessica A Kostenblatt-Valdez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05709400 Issued in NJ

Practice address

15 Saint Anne Dr
New Windsor, NY 12553-7434

Phone

(845) 527-6507

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1225857154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SAINT ANNE DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SAINT ANNE DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537434",
            "telephone_number": "845-527-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTENBLATT-VALDEZ",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096780-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05709400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Emil Knipp, MD
• Bon Chang A. Koo, MD
• Nicole Michele Kortright, CF-SLP TSSLD
• Michael B Korzen, D.D,S.
• Rheonna Fortune Koss
• Samuel Kramer, D.D.S.
• Mark L Krivda, PT
• Renata Nahum Krymkevich, MD
• Andrew Kuforiji
• David Kulick, D.D.S.

• Clinical Social Worker in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.