Active NPI
Jane L Ades, LCSW
- Clinical Social Worker
- Port Washington, NY
National Provider Identifier
1467581868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R29675
- Practice address
- 78 Country Club Dr
Port Washington, NY 11050-4551 - Phone
- (516) 365-5885
- Fax
- (516) 365-5885
- NPI assigned
- Mar 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R29675 | NY | Primary |
Addresses
Primary practice location
78 Country Club Dr
Port Washington, NY 11050-4551
Mailing address
78 Country Club Dr
Port Washington, NY 11050-4551
Phone (516) 365-5885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 2, 2018 through May 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R29675 | NY | MD | Clinical Social Worker |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467581868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 COUNTRY CLUB DR",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110504551",
"telephone_number": "516-365-5885",
"fax_number": "516-365-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 COUNTRY CLUB DR",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110504551",
"telephone_number": "516-365-5885",
"fax_number": "516-365-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADES",
"first_name": "JANE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R29675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.