Active NPI
Jenifer Beth Cutler, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1366773673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081581-1
- Practice address
- 19 W 34TH St
New York, NY 10001-3006 - Phone
- (646) 481-8298
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081581-1 | NY | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
19 W 34TH St
New York, NY 10001-3006
Mailing address
PO Box 10084
C/O Blackmer
Zephyr Cove, NV 89448-2084
Phone (646) 481-8298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 16, 2022 through Jun 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081581-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1366773673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10084",
"address_2": "C/O BLACKMER",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "894482084",
"telephone_number": "646-481-8298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 34TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "646-481-8298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "JENIFER",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081581-1",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 18, 2015; 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.