Individual provider Active NPI

Jennifer McDonough

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1346393162
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070008 Issued in NY
Practice address
1310 Rockaway Pkwy
Brooklyn, NY 11236-2339
Phone
(718) 257-3400
Fax
(718) 257-0178
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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 070008 NY Primary

Addresses

Primary practice location

1310 Rockaway Pkwy
Brooklyn, NY 11236-2339

Mailing address

1310 Rockaway Pkway
Brooklyn, NY 11236-3610
Phone (718) 257-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000301 NY Practitioner - Clinical Social Worker 3870625031 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laura E Asner CSW PCGroup PAC ID 3577525740, 6 clinicians

Practice addresses (Care Compare)

260 W Main St
Suite 8
Bay Shore, NY 11706-8322
Phone (631) 647-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070008NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura E Asner CSW PC Clinical CurrentSince Sep 15, 2015 Accepting new patients
LCSW Evaluations and Clinical Social Work, P.C. Clinical CurrentSince Aug 10, 2012 Accepting new patients
Jennifer L McDonough LCSW PLLC Clinical CurrentSince Jan 21, 2026 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Astrocare, Inc. Past Accepting new patients

Locations

260 W Main St
Ste 8
Bay Shore, NY 11706
Phone (631) 647-9009

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1346393162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ROCKAWAY PKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363610",
            "telephone_number": "718-257-3400",
            "fax_number": "718-257-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362339",
            "telephone_number": "718-257-3400",
            "fax_number": "718-257-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.