Individual provider Active NPI

Jules Jason Canez, LCSW-R; MSW

  • Clinical Social Worker
  • Hyde Park, NY
National Provider Identifier
1417186362
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73071192 Issued in NY
Practice address
10 Beadart PL
Hyde Park, NY 12538-1218
Phone
(845) 490-7277
Fax
(845) 868-3124
NPI assigned
Jul 13, 2009
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 73071192 NY Primary

Addresses

Primary practice location

10 Beadart PL
Hyde Park, NY 12538-1218

Mailing address

10 Beadart PL
Hyde Park, NY 12538-1218
Phone (845) 490-7277

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
I20100629000363 NY Practitioner - Clinical Social Worker 7214068691 Reassigns benefits to 1 organization
Practice locations: Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearwater Counseling Associates LCSW PLLCGroup PAC ID 4082900188, 11 clinicians

Practice addresses (Care Compare)

10 Beadart PL
Hyde Park, NY 12538-1218
Phone (845) 490-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73071192NYMDClinical Social Worker
058851NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Counseling Associates LCSW, PLLC CurrentSince Jul 6, 2016 Accepting new patients
Northview LCSW PLLC Clinical Current Accepting new patients
Clearwater Counseling Inc. Past Accepting new patients
Ajs Mental Health Counseling, PLLC PastSince Apr 6, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1417186362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BEADART PL",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381218",
            "telephone_number": "845-490-7277",
            "fax_number": "845-868-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BEADART PL",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381218",
            "telephone_number": "845-490-7277",
            "fax_number": "845-868-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEZ",
        "first_name": "JULES",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LCSW-R; MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73071192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.