Individual provider Active NPI

Jillian Adler

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1558034819
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102056 Issued in NY
Practice address
303 5TH Ave RM 1002
New York, NY 10016-6639
Phone
(646) 369-6615
NPI assigned
Jul 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 102056 NY Primary

Addresses

Primary practice location

303 5TH Ave RM 1002
New York, NY 10016-6639

Mailing address

201 E 79TH St
PHB
New York, NY 10075-0830
Phone (646) 369-6615

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
I20260227003959 NY Practitioner - Clinical Social Worker 8729560628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

57 W 57TH St
Suite 1004
New York, NY 10019-2821

77 Bleecker St
Apt 724
New York, NY 10012-1548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102056NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Therapeutic Support LCSW PC Clinical CurrentSince Jan 21, 2026 Accepting new patients
Well Behavioral Health LLC CurrentSince Apr 15, 2026 Accepting new patients

Locations

459 Columbus Ave
New York, NY 10024
Phone (212) 884-6282

57 W 57th St
Ste 1004
New York, NY 10019
Phone (212) 765-5030

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1558034819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 79TH ST",
            "address_2": "PHB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750830",
            "telephone_number": "646-369-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166639",
            "telephone_number": "646-369-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "JILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.