Jan Christian Niemira, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73 074879 Issued in NY

Practice address

138 W 25TH St
Suite 802, B-1
New York, NY 10001-7405

Phone

(646) 373-4845

Fax

(917) 441-4340

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  NPD (past)
• Community Association of Progressive Dominicans, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1629149125
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346337425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 COLUMBUS AVE",
            "address_2": "APT. 12-S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241408",
            "telephone_number": "646-373-4845",
            "fax_number": "917-441-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W 25TH ST",
            "address_2": "SUITE 802, B-1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017405",
            "telephone_number": "646-373-4845",
            "fax_number": "917-441-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIRA",
        "first_name": "JAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 074879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ebbel Niemasik, M.D.
• Julia Niemeier, MD
• Shauna Marie Niemeier, R.N.
• Greta Niemela
• Noelle Marie Niemiec
• Trisha Niemitalo, FNP
• Heather Niemoeller
• Marvin Daniel Nienaltow, M.D.
• Sophie Nienburg
• Almoustapha Nientao

• 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 Jul 8, 2007; 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.