Active NPI
Jane Hogan, LCSW, PH.D
- Clinical Social Worker
- Floral Park, NY
National Provider Identifier
1528483286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081424-1
- Practice address
- 20 S Tyson Ave
Floral Park, NY 11001-2017 - Phone
- (917) 558-0291
- NPI assigned
- Mar 4, 2014
- Last updated
- May 15, 2023
- 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 | 081424-1 | NY | Primary |
Addresses
Primary practice location
20 S Tyson Ave
Floral Park, NY 11001-2017
Mailing address
975 Tarpon Cove Dr Apt 202
Naples, FL 34110-3611
Phone (917) 558-0291
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180823001763 | NY | Practitioner - Clinical Social Worker | 6002165024 | Practice locations: Floral Park, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
20 S Tyson Ave
Floral Park, NY 11001-2017
Phone (917) 558-0291
9 Northfield Rd
Glen Cove, NY 11542-1717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081424-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romaxter LLC | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1528483286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 TARPON COVE DR APT 202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341103611",
"telephone_number": "917-558-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S TYSON AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110012017",
"telephone_number": "917-558-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "JANE",
"name_prefix": "Dr.",
"credential": "LCSW, PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081424-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.