Individual provider Active NPI

Jennifer Rachel Levin, LCSW

  • Clinical Social Worker
  • Kew Gardens, NY
National Provider Identifier
1396851192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
039607 Issued in NY
Practice address
8245 Grenfell St
Kew Gardens, NY 11415-1344
Phone
(212) 983-0331
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 039607 NY Primary

Addresses

Primary practice location

8245 Grenfell St
Kew Gardens, NY 11415-1344

Mailing address

PO Box 658
New York, NY 10185-0658

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051003000823 NY Practitioner - Clinical Social Worker 3274568795 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Behavioral Group IncGroup PAC ID 6709299019, 3 clinicians

Practice addresses (Care Compare)

953 E 27TH St
Brooklyn, NY 11210-3757
Phone (917) 312-5697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039607NYMDClinical Social Worker
14200SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Behavioral Group, Inc. Clinical CurrentSince Nov 1, 2020 Accepting new patients
Senior Adult Services Corp. Clinical CurrentSince Mar 1, 2015 Accepting new patients

Locations

521 5th Ave
Fl 17
New York, NY 10175
Phone (212) 929-4280

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396851192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101850658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 GRENFELL ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151344",
            "telephone_number": "212-983-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "JENNIFER",
        "middle_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "039607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.