Individual provider Active NPI

Jennifer Bower Rankin, LCSW

  • Clinical Social Worker
  • Pearl River, NY
National Provider Identifier
1437223443
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075743-1 Issued in NY
Practice address
70 S Highland Ave
Pearl River, NY 10965-1614
Phone
(860) 318-1158
NPI assigned
Nov 20, 2006
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 303 CO
Clinical Social Worker 1041C0700X 112003 MA
Clinical Social Worker 1041C0700X 005851 CT
Clinical Social Worker 1041C0700X 26708 MD
Clinical Social Worker 1041C0700X 075743-1 NY Primary

Addresses

Primary practice location

70 S Highland Ave
Pearl River, NY 10965-1614

Mailing address

70 S Highland Ave
Pearl River, NY 10965-1614
Phone (860) 318-1158

Other names 1

  • Jennifer Bower Brebbia Former name

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

LicenseStateTypeSpecialty
303COMDClinical Social Worker
005851CTMDClinical Social Worker
112003MAMDClinical Social Worker
26708MDMDClinical Social Worker
075743-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn to Oak Wellness Studio, LCSW, PLLC Clinical CurrentSince Sep 1, 2020 Accepting new patients

Locations

2 Franklin Ave
Pearl River, NY 10965
Phone (845) 920-1694

Organizations & group practices 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1437223443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S HIGHLAND AVE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651614",
            "telephone_number": "860-318-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S HIGHLAND AVE",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651614",
            "telephone_number": "860-318-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "JENNIFER",
        "middle_name": "BOWER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "303",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112003",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005851",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26708",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075743-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BREBBIA",
            "middle_name": "BOWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pearl River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.