Individual provider Active NPI

Jane Packer Gerber, LCSW

  • Clinical Social Worker
  • Mission, TX
National Provider Identifier
1457303489
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54001 Issued in TX
Practice address
4018 Lark Dr
Mission, TX 78572-4994
Phone
(845) 541-2715
Fax
(845) 564-2931
NPI assigned
May 17, 2006
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R041738 NY
Clinical Social Worker 1041C0700X 9894 FL
Clinical Social Worker 1041C0700X 54001 TX Primary

Addresses

Primary practice location

4018 Lark Dr
Mission, TX 78572-4994

Mailing address

102 Rainbow Dr
Apt 218
Livingston, TX 77399-1002
Phone (845) 541-2715

Other names 1

  • Jane Packer Gerber Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060608000268 NY Practitioner - Clinical Social Worker 9436161593 Practice locations: New Windsor, NY; Montgomery, NY
I20140806000545 TX Practitioner - Clinical Social Worker 9436161593 Practice locations: Mission, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

168 Waters Edge
Montgomery, NY 12549-1309
Phone (845) 541-2715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R041738NYMDClinical Social Worker
9894FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Winchester-Vega LCSW PLLC Clinical Past Accepting new patients

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1457303489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RAINBOW DR",
            "address_2": "APT 218",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773991002",
            "telephone_number": "845-541-2715",
            "fax_number": "361-788-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 LARK DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724994",
            "telephone_number": "845-541-2715",
            "fax_number": "845-564-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER GERBER",
        "first_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041738",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "9894",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "GERBER",
            "middle_name": "PACKER",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.