Individual provider Active NPI

Jessica Wolfarth, LCSW

  • Clinical Social Worker
  • Seaford, NY
National Provider Identifier
1306023478
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3770 Verleye St
Seaford, NY 11783-2517
Phone
(516) 253-0225
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 Primary

Addresses

Primary practice location

3770 Verleye St
Seaford, NY 11783-2517

Mailing address

400 Rella Blvd Ste 207-774
Montebello, NY 10901-4241
Phone (516) 253-0225

Other practice location 1

400 Rella Blvd Ste 207-774
Montebello, NY 10901-4241
Phone (516) 253-0225

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tempo Youth Services, Inc. PastSince Mar 19, 2023 Accepting new patients
Tempo Group, Inc. PastSince Jun 29, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1306023478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD STE 207-774",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109014241",
            "telephone_number": "516-253-0225",
            "fax_number": "631-814-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 VERLEYE ST",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832517",
            "telephone_number": "516-253-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Rella Blvd Ste 207-774",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "NY",
            "postal_code": "109014241",
            "country_code": "US",
            "telephone_number": "516-253-0225",
            "fax_number": "631-814-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFARTH",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.