Active NPI
Jennifer Critchley Yoxthimer, LCSW-R
- Clinical Social Worker
- Albany, NY
National Provider Identifier
1538219142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072107-R
- Practice address
- 251 New Karner Rd
Suite 19
Albany, NY 12205-4617 - Phone
- (518) 421-1674
- NPI assigned
- Jan 12, 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 | 072107-R | NY | Primary |
Addresses
Primary practice location
251 New Karner Rd
Suite 19
Albany, NY 12205-4617
Mailing address
268 Whitehall Rd
Albany, NY 12209-1128
Phone (518) 421-1674
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 |
|---|---|---|---|---|
| I20190305001853 | NY | Practitioner - Clinical Social Worker | 9739431230 | Practice locations: Albany, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072107-R | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1538219142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 WHITEHALL RD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122091128",
"telephone_number": "518-421-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 NEW KARNER RD",
"address_2": "SUITE 19",
"city": "ALBANY",
"state": "NY",
"postal_code": "122054617",
"telephone_number": "518-421-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOXTHIMER",
"first_name": "JENNIFER",
"middle_name": "CRITCHLEY",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072107-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.