Individual provider Active NPI

Jillian M Childs, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1346778628
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10581 Issued in NY
Practice address
1050 Niagara St
Buffalo, NY 14213-2001
Phone
(716) 856-2587
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 102581 NY
Clinical Social Worker 1041C0700X 092050 NY
Clinical Social Worker 1041C0700X 10581 NY Primary

Addresses

Primary practice location

1050 Niagara St
Buffalo, NY 14213-2001

Mailing address

703 W Ferry St Apt C5
Buffalo, NY 14222-1651
Phone (716) 544-4369

Other practice location 1

95 W Humboldt Pkwy
Buffalo, NY 14214-2604
Phone (716) 710-5151

Other practice location 2

3020 Bailey Ave
Buffalo, NY 14215-2814
Phone (716) 831-2700

Other practice location 3

55 Dodge Rd
Getzville, NY 14068
Phone (716) 831-2700

Other practice location 4

55 Dodge Rd
Getzville, NY 14068
Phone (716) 831-2700

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
10581NYMDPsychologist
092050NYMDSocial Worker
102581NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Services Inc PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

Organizations & group practices 1

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1346778628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W FERRY ST APT C5",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221651",
            "telephone_number": "716-544-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132001",
            "telephone_number": "716-856-2587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 W Humboldt Pkwy",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142142604",
            "country_code": "US",
            "telephone_number": "716-710-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Bailey Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142152814",
            "country_code": "US",
            "telephone_number": "716-831-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Dodge Rd",
            "address_purpose": "LOCATION",
            "city": "Getzville",
            "state": "NY",
            "postal_code": "14068",
            "country_code": "US",
            "telephone_number": "716-831-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Dodge Rd",
            "address_purpose": "LOCATION",
            "city": "Getzville",
            "state": "NY",
            "postal_code": "14068",
            "country_code": "US",
            "telephone_number": "716-831-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "JILLIAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092050",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "10581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 30, 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.