Active NPI
Jennifer J Graybill, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1366791048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084213
- Practice address
- 34 W 22ND St
New York, NY 10010-5805 - Phone
- (917) 960-9500
- NPI assigned
- Sep 10, 2012
- Last updated
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 084213 | NY | Primary |
Addresses
Primary practice location
34 W 22ND St
New York, NY 10010-5805
Mailing address
3395 12TH Ave Apt 2R
Brooklyn, NY 11218-2125
Phone (732) 742-1975
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cassandra Reid LLC | Clinical | Current | Accepting new patients |
| Housing Works Services II, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Day Care Clinic/Center
- Brooklyn, NY
- NPI 1518529452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1366791048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 12TH AVE APT 2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182125",
"telephone_number": "732-742-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 W 22ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105805",
"telephone_number": "917-960-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYBILL",
"first_name": "JENNIFER",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084213",
"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 Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.