Active NPI
Jennifer Taylor, CSW
- Clinical Social Worker
- Astoria, NY
National Provider Identifier
1235164179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 064949-1
- Practice address
- 421 27TH Ave
Astoria, NY 11102-4510 - Phone
- (718) 956-1305
- Fax
- (718) 956-4573
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 064949-1 | NY | Primary |
Addresses
Primary practice location
421 27TH Ave
Astoria, NY 11102-4510
Mailing address
4136 27TH St
Long Island City, NY 11101-3825
Phone (718) 389-5100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064949-1 | NY | MD | Clinical Social Worker |
| 064949 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Association of Progressive Dominicans, Inc | Past | Accepting new patients | |
| Steinway Child and Family Services, Inc | Clinical | Past | Accepting new patients |
| National Neighborhood Counseling Center Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1629149125
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1457352098
-
- Clinical Social Worker
- Howard Beach, NY
- NPI 1346286382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235164179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4136 27TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111013825",
"telephone_number": "718-389-5100",
"fax_number": "718-391-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 27TH AVE",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024510",
"telephone_number": "718-956-1305",
"fax_number": "718-956-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JENNIFER",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "064949-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.