Jennifer Lynn Grazina, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072986 Issued in NY

Practice address

66 Newtown LN
East Hampton, NY 11937-2440

Phone

(631) 324-3344

NPI assigned

Jul 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Gallo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Service League, Inc.

  • Community/Behavioral Health Agency
  • Huntington, NY
  • NPI 1528093242
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1265696587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARRYS LN",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119631509",
            "telephone_number": "631-899-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 NEWTOWN LN",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372440",
            "telephone_number": "631-324-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZINA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GALLO",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ralph Milton Gibson Jr., M.D.
• Jennifer Goldfarb
• Donald Goodale, LMT, LAC
• Katheryn E Gorski, PT, DPT
• Matthew Grady, LMSW
• Victor J.R. Grazina, DDS
• Kristin C Guarino, LCSW
• Monica F Guillen, LMSW
• Jessica Gutierrez, DPT
• Eugene Z Haller, D.C.

• Clinical Social Worker in East Hampton, NY
• Providers in East Hampton, 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 Jul 16, 2008; 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.