Individual provider Active NPI

Jean-Marie Messeroux, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1417685629
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
116655 Issued in NY
Practice address
201 E 144TH St
Bronx, NY 10451-5907
Phone
(407) 242-5929
NPI assigned
Aug 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 116655 NY Primary

Addresses

Primary practice location

201 E 144TH St
Bronx, NY 10451-5907

Mailing address

3708 Palisades Dr
Philadelphia, PA 19129-1762
Phone (407) 242-5929

Other practice location 1

3708 Palisades Dr
Philadelphia, PA 19129-1762
Phone (407) 242-5929

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

LicenseStateTypeSpecialty
116655NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1417685629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 PALISADES DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291762",
            "telephone_number": "407-242-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 144TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515907",
            "telephone_number": "407-242-5929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3708 Palisades Dr",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191291762",
            "country_code": "US",
            "telephone_number": "407-242-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSEROUX",
        "first_name": "JEAN-MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "116655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.