Active NPI
Jessica Ann Liburdi
- Social Worker
- Seneca Falls, NY
National Provider Identifier
1447828231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P109517
- Practice address
- 115 Fall St
Seneca Falls, NY 13148-1498 - Phone
- (315) 515-5194
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P109517 | NY | Primary |
Addresses
Primary practice location
115 Fall St
Seneca Falls, NY 13148-1498
Mailing address
114 Kenwood CT
Latham, NY 12110-3757
Phone (518) 269-1676
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
| License | State | Type | Specialty |
|---|---|---|---|
| P109517 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1447828231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 KENWOOD CT",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103757",
"telephone_number": "518-269-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 FALL ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481498",
"telephone_number": "315-515-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBURDI",
"first_name": "JESSICA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "P109517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seneca Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.