Jillian Courtney Mittiga, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080010 Issued in NY

Practice address

2128 Elmwood Ave
Buffalo, NY 14207-1910

Phone

(716) 566-5007

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jillian.mittiga.1@30520.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  NY

  Medicare reassignment NPD
• County of Genesee County Treasurer

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Batavia, NY
  • NPI 1588602064
  NPD (past)
• County of Genesee County Treasurer

  • Public Health or Welfare Agency
  • Batavia, NY
  • NPI 1619945573
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1386898211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071910",
            "telephone_number": "716-566-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071910",
            "telephone_number": "716-566-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTIGA",
        "first_name": "JILLIAN",
        "middle_name": "COURTNEY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01465154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Mitchell
• Ryan Mitchell, DPT
• Sally J. Mitchell, S.W.
• Samanntha Lee Mitchell, PA-C
• Neel Divyakant Mittal, MBBS
• Peter Mittiga
• Theresa Miyashita, PHD, ATC
• MK Realiable Transportation LLC
• Ause Mmbamba
• Mobile CR Imaging

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.