Active NPI
Jennifer Leigh Jones, LCSW
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089908
- Practice address
- 4624 Broadway
New York, NY 10040-2102 - Phone
- (212) 569-1044
- Fax
- (212) 569-1066
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- 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 | 089908 | NY | Primary |
Addresses
Primary practice location
4624 Broadway
New York, NY 10040-2102
Mailing address
8409 155TH Ave Apt 4K
Howard Beach, NY 11414-2204
Phone (516) 476-4866
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089908 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apicha Community Health Center | Clinical | Current | Accepting new patients |
| Apicha Community Health Center | Single Specialty | Current | Accepting new patients |
| The Floating Hospital Inc. | Current | Accepting new patients | |
| The Floating Hospital Inc. | Current | Accepting new patients |
Locations
8211 37th Ave
Jackson Heights, NY 11372
Phone (646) 747-8091
1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266
4140 27th St
Long Island City, NY 11101
400 Broadway
New York, NY 10013
Phone (212) 334-6029
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJBGAA
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1730303017
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Long Island City, NY
- NPI 1306954631
-
- Federally Qualified Health Center (FQHC)
- Jackson Heights, NY
- NPI 1396238283
Clinical
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1275946550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1255975314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8409 155TH AVE APT 4K",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114142204",
"telephone_number": "516-476-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4624 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100402102",
"telephone_number": "212-569-1044",
"fax_number": "212-569-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.