Jaclyn M. Sirulnik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080223 Issued in NY

Legal business name

JACLYN M. SIRULNIK, LCSW

Practice address

155 W 71St St
Apt 1B
New York, NY 10023-3836

Phone

(917) 446-2996

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Jaclyn Murray Sirulnik, LCSWNPI 1467832964

Title

Clinical Therapist

Phone

(917) 446-2996

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Sirulnik, MA, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1467832964
  NPD (past) Authorized official

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1265839203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 71ST ST",
            "address_2": "APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233836",
            "telephone_number": "917-446-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W 71ST ST",
            "address_2": "APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233836",
            "telephone_number": "917-446-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN M. SIRULNIK, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "SIRULNIK",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "MURRAY",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "917-446-2996",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unnati Jackson, PA
• Vanessa Mari Jackson
• William Michael Jackson, M.D.
• Yazmyne Jackson
• Taylor Nicole Jackvony
• Jacob Hascalovici MD PC
• Jacob Heyman,M,D., P.C.
• Jacob Lichy M.D.&Thomas Kolb M.D.P.C.
• Jacob Lichy MD and Thomas Kolb MD PC
• Jacob Nachum OD PC

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Nov 19, 2014; 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.