Individual provider Active NPI

Jenny Vasquez-Shubitz, LCSW

  • Clinical Social Worker
  • Jackson Heights, NY
National Provider Identifier
1447335799
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
062869 Issued in NY
Practice address
3722 82ND St
Jackson Heights, NY 11372-7032
Phone
(718) 779-1600
Fax
(718) 803-0895
NPI assigned
Oct 26, 2006
Last updated
Aug 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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 062869 NY Primary

Addresses

Primary practice location

3722 82ND St
Jackson Heights, NY 11372-7032

Mailing address

3722 82ND St
Jackson Heights, NY 11372-7032
Phone (718) 779-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250424003202 MI Practitioner - Clinical Social Worker 6901813666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Social Services of Washtenaw CountyGroup PAC ID 0547288300, 4 clinicians

Practice addresses (Care Compare)

4925 Packard St
Ann Arbor, MI 48108-1521
Phone (734) 971-9781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
062869NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Social Services of Washtenaw County CurrentSince Mar 27, 2025 Accepting new patients
Steinway Child and Family Services, Inc Clinical Past Accepting new patients
Catholic Charities Neighborhood Services, Inc. Past Accepting new patients
Catholic Charities Neigborhood Services PastSince Nov 10, 2019 Accepting new patients
Steinway Child and Family Services, Inc. Clinical Past Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients

Locations

4925 Packard St
Ann Arbor, MI 48108
Phone (734) 971-9781

Organizations & group practices 6

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1447335799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 82ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727032",
            "telephone_number": "718-779-1600",
            "fax_number": "718-803-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 82ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727032",
            "telephone_number": "718-779-1600",
            "fax_number": "718-803-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ-SHUBITZ",
        "first_name": "JENNY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "062869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.