Individual provider Active NPI

Jodi Hilt, LMSW

  • Clinical Social Worker
  • Plainview, NY
National Provider Identifier
1356596852
Registry record updated Jul 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0694241 Issued in NY
Practice address
102 Knickerbocker Rd
Plainview, NY 11803-2632
Phone
(631) 786-6353
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0694241 NY Primary
School Social Worker 1041S0200X 2195292 NY

Addresses

Primary practice location

102 Knickerbocker Rd
Plainview, NY 11803-2632

Mailing address

102 Knickerbocker Rd
Plainview, NY 11803-2632
Phone (631) 786-6353

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0694241NYMDClinical Social Worker
2195292NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248480000000",
    "number": "1356596852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 KNICKERBOCKER RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032632",
            "telephone_number": "631-786-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 KNICKERBOCKER RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032632",
            "telephone_number": "631-786-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILT",
        "first_name": "JODI",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2009-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0694241",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "2195292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2009; 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.