Krystle McCree-Jenkinson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL07105800 Issued in NJ

Practice address

2631 Merrick Rd
Bellmore, NY 11710-5730

Phone

(516) 535-9510

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1346926847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 OUTWATER LN APT 1R",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262648",
            "telephone_number": "973-955-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105730",
            "telephone_number": "516-535-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREE-JENKINSON",
        "first_name": "KRYSTLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-05-10",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL07105800",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Mayer
• Jaquayja Rebecca Mayzck
• Mary McAllister Davis, DDS
• Anthony McCabe Sr.
• Amanda C McCarthy, P.D., BCBA
• Sascha McDermott
• Jennifer Trish McDonald, PHARMD
• Lorissa W McFall, LCSWR
• Daniela Maria McGee, CCC-SLP
• Carolyne McHyman, D.O.

• Clinical Social Worker in Bellmore, NY
• Providers in Bellmore, 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 May 10, 2024; 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.