Active NPI
Jesse Hendrich, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1356116743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079648-1
- Practice address
- 18 E 41St St RM 1103
New York, NY 10017-6253 - Phone
- (718) 344-5398
- NPI assigned
- Nov 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079648-1 | NY | Primary |
Addresses
Primary practice location
18 E 41St St RM 1103
New York, NY 10017-6253
Mailing address
18 E 41St St RM 1103
New York, NY 10017-6253
Phone (718) 344-5398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 22, 2023 through Nov 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079648-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1356116743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E 41ST ST RM 1103",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176253",
"telephone_number": "718-344-5398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E 41ST ST RM 1103",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176253",
"telephone_number": "718-344-5398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICH",
"first_name": "JESSE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079648-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.