Active NPI
Jessica Sondra Loughlin, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1386889780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079607
- Practice address
- 19 W 34TH St PH
New York, NY 10001-3006 - Phone
- (917) 439-7267
- NPI assigned
- Dec 14, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 077877-1 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC05819800 | NJ | |
| Clinical Social Worker | 1041C0700X | 079607 | NY | Primary |
Addresses
Primary practice location
19 W 34TH St PH
New York, NY 10001-3006
Mailing address
198 Bellevue Ave
Montclair, NJ 07043-1892
Phone (917) 439-7267
Other practice location 1
60 8th Ave
Brooklyn, NY 11217-3940
Phone (917) 439-7267 ext. 354
Other practice location 2
60 8th Ave
Brooklyn, NY 11217-3940
Phone (917) 439-7267 ext. 354
Other practice location 3
198 Bellevue Ave
Montclair, NJ 07043
Phone (917) 439-7267
Other practice location 4
171 Madison Ave Fl 5
New York, NY 10016
Phone (917) 439-7267
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
| License | State | Type | Specialty |
|---|---|---|---|
| 077877-1 | NY | MD | Social Worker |
| 079607 | NY | MD | Social Worker |
| 44SC05819800 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1386889780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 BELLEVUE AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431892",
"telephone_number": "917-439-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 34TH ST PH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "917-439-7267"
}
],
"practiceLocations": [
{
"address_1": "60 8th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112173940",
"country_code": "US",
"telephone_number": "917-439-7267 x354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 8th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112173940",
"country_code": "US",
"telephone_number": "917-439-7267 x354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "198 Bellevue Ave",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "NJ",
"postal_code": "07043",
"country_code": "US",
"telephone_number": "917-439-7267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 Madison Ave Fl 5",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10016",
"country_code": "US",
"telephone_number": "917-439-7267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUGHLIN",
"first_name": "JESSICA",
"middle_name": "SONDRA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-14",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "077877-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05819800",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079607",
"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 Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.