Individual provider Active NPI

Jenny Williams, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1447684519
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086644 Issued in NY
Practice address
110 E 30TH St Ste 503
New York, NY 10016-7393
Phone
(646) 902-4391
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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 086644 NY Primary

Addresses

Primary practice location

110 E 30TH St Ste 503
New York, NY 10016-7393

Mailing address

13 Parsonage St
Cold Spring, NY 10516-1516

Other practice location 1

1133 Broadway Ste 609
New York, NY 10010-8077
Phone (646) 902-4391

Other practice location 2

320 Main St
Beacon, NY 12508-3019
Phone (646) 902-4391

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
086644NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1447684519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PARSONAGE ST",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105161516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 30TH ST STE 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167393",
            "telephone_number": "646-902-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Broadway Ste 609",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100108077",
            "country_code": "US",
            "telephone_number": "646-902-4391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Main St",
            "address_purpose": "LOCATION",
            "city": "Beacon",
            "state": "NY",
            "postal_code": "125083019",
            "country_code": "US",
            "telephone_number": "646-902-4391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086644",
            "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 Apr 8, 2019; 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.