Individual provider Active NPI

Jessica Beryl Twining, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1285966812
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079992-1 Issued in NY
Practice address
3020 Bailey Ave
Buffalo, NY 14215-2814
Phone
(716) 831-0200
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079992-1 NY Primary

Addresses

Primary practice location

3020 Bailey Ave
Buffalo, NY 14215-2814

Mailing address

3020 Bailey Ave
Buffalo, NY 14215-2814
Phone (716) 831-1800

Other names 1

  • Jessica Beryl Cushman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081299NYMDSocial Worker
079992-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1285966812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814",
            "telephone_number": "716-831-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814",
            "telephone_number": "716-831-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWINING",
        "first_name": "JESSICA",
        "middle_name": "BERYL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079992-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CUSHMAN",
            "middle_name": "BERYL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.