Individual provider Active NPI

Jennifer Leigh Jones, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1255975314
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089908 Issued in NY
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

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201218000577 NY Practitioner - Clinical Social Worker 5799197513 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089908NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apicha Community Health Center Clinical CurrentSince Apr 24, 2023 Accepting new patients
Apicha Community Health Center Single Specialty CurrentSince Apr 24, 2023 Accepting new patients
The Floating Hospital Inc. CurrentSince Oct 18, 2020 Accepting new patients
The Floating Hospital Inc. CurrentSince Oct 18, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.