Jennifer Nicola, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099569 Issued in NY

Practice address

7901 Broadway
Elmhurst, NY 11373-1329

Phone

(718) 334-4000

NPI assigned

Jan 8, 2019

Last updated

Jul 25, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family & Children's Association HCBS Cftss LVH

  • Community/Behavioral Health Agency
  • Garden City, NY
  • NPI 1700033149
  NPD (past)
• Coastal Carolina Neuropsychiatric Center, PA

  • Psychiatry Physician
  • Jacksonville, NC
  • NPI 1184737462

  Counselor

  NPD (past)

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1285107615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Tarpon Trl",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465287",
            "country_code": "US",
            "telephone_number": "910-910-1114",
            "fax_number": "910-938-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Oak St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115306554",
            "country_code": "US",
            "telephone_number": "516-485-5976 x3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ngok, DNP, CNM
• Anh Duong Thuy Nguyen, MD
• Vu Cat Nguyen, RN
• Yu Qing Ni
• Caroline Brooke Nicassio, LMSW
• Eleftheria Nicolaou, CASACT
• Anthony Nicolas, M.D.
• Linda Anne Niemiec, PNP
• Julia Elisa Nieves, PA
• Marlene Maria Nieves, PA-C

• Clinical Social Worker in Elmhurst, NY
• Providers in Elmhurst, 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 25, 2025; 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.