Individual provider Active NPI

Jessica Aitken, LCSW

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1508589029
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088141 Issued in NY
Practice address
3272 Steinway St
Astoria, NY 11103-4182
Phone
(718) 204-9720
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 088141 NY Primary

Addresses

Primary practice location

3272 Steinway St
Astoria, NY 11103-4182

Mailing address

3272 Steinway St
Astoria, NY 11103-4182
Phone (718) 204-9720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230116000463 NY Practitioner - Clinical Social Worker 0042681827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Wellness Professional Psychiatric Services PCGroup PAC ID 3375609258, 6 clinicians

Practice addresses (Care Compare)

3272 Steinway St
FL 5
Astoria, NY 11103-4182
Phone (718) 204-9720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088141NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Wellness Professional Psychiatric Services PC CurrentSince Oct 5, 2022 Accepting new patients
Medical Care at Home PC CurrentSince Aug 16, 2024 Accepting new patients

Locations

3272 Steinway St
Fl 5
Astoria, NY 11103
Phone (347) 609-7769

220 E 42nd St
Fl 6
New York, NY 10017
Phone (212) 609-9640

5065 Wooster Rd
Cincinnati, OH 45226

Organizations & group practices 2

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1508589029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034182",
            "telephone_number": "718-204-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034182",
            "telephone_number": "718-204-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AITKEN",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.