Individual provider Active NPI

Jamie Schwartz, LCSW-R, CASAC

  • Clinical Social Worker
  • Commack, NY
National Provider Identifier
1316193352
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53298 Issued in NY
Practice address
2171 Jericho Tpke Ste 240
Commack, NY 11725-2900
Phone
(631) 486-7788
NPI assigned
Aug 11, 2008
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 53298 NY Primary

Addresses

Primary practice location

2171 Jericho Tpke Ste 240
Commack, NY 11725-2900

Mailing address

112 Franklin PL
Woodmere, NY 11598-1217

Other practice location 1

112 Franklin Pl
Woodmere, NY 11598-1217
Phone (516) 374-3671

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
53298NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Janis Hoffman LCSW ,PLLC Clinical CurrentSince Jan 22, 2022 Accepting new patients
Tempo Youth Services, Inc. PastSince Mar 19, 2023 Accepting new patients
Tempo Group, Inc. PastSince Jun 29, 2019 Accepting new patients

Locations

2171 Jericho Tpke
Ste 240
Commack, NY 11725
Phone (631) 486-7788

Interoperability endpoints

  • Direct secure messaging: ethoscareinc.jamieschwartz@151221.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1316193352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 240",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252900",
            "telephone_number": "631-486-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Franklin Pl",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981217",
            "country_code": "US",
            "telephone_number": "516-374-3671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JAMIE",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "53298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.