Active NPI
Amanda De Jesus, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1396985438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076251-1
- Practice address
- 119 W 57TH St Ste 1100
New York, NY 10019-2401 - Phone
- (631) 716-4386
- NPI assigned
- Mar 3, 2009
- 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 | 076251-1 | NY | Primary |
Addresses
Primary practice location
119 W 57TH St Ste 1100
New York, NY 10019-2401
Mailing address
300 W 55TH St
#15X
New York, NY 10019-5172
Phone (631) 716-4386
Other practice location 1
300 W 55th St
#15X
New York, NY 10019-5172
Phone (631) 716-4386
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076251-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1396985438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W 55TH ST",
"address_2": "#15X",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195172",
"telephone_number": "631-716-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 57TH ST STE 1100",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192401",
"telephone_number": "631-716-4386"
}
],
"practiceLocations": [
{
"address_1": "300 W 55th St",
"address_2": "#15X",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100195172",
"country_code": "US",
"telephone_number": "631-716-4386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS",
"first_name": "AMANDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076251-1",
"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 Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.