Active NPI
Jillian Kaufman, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1578090213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05983500
- Practice address
- 80 University Plave Suite 2C
New York, NY 10003-1691 - Phone
- (631) 806-4058
- NPI assigned
- May 12, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 093309-01 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC05983500 | NJ | Primary |
Addresses
Primary practice location
80 University Plave Suite 2C
New York, NY 10003-1691
Mailing address
80 University Plave Suite 2C
New York, NY 10003
Phone (631) 806-4058
Other practice location 1
701 E. Palisade Avenue
Englewood Cliffs, NJ 07063-1691
Phone (631) 806-4058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05983500 | NJ | MD | Clinical Social Worker |
| 093309-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jillian E. Kaufman Psychotherapy & Consulting Services, LLC | Clinical | Current | Accepting new patients |
Locations
80 University Pl
Fl 2C
New York, NY 10003
Phone (631) 806-4058
80 University Pl
Ste 2C
New York, NY 10003
Phone (631) 806-4058
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 and National Provider Directory roles.
-
- Clinical Social Worker
- New York, NY
- NPI 1447959598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1578090213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 UNIVERSITY PLAVE SUITE 2C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "631-806-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 UNIVERSITY PLAVE SUITE 2C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031691",
"telephone_number": "631-806-4058"
}
],
"practiceLocations": [
{
"address_1": "701 E. Palisade Avenue",
"address_purpose": "LOCATION",
"city": "Englewood Cliffs",
"state": "NJ",
"postal_code": "070631691",
"country_code": "US",
"telephone_number": "631-806-4058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUFMAN",
"first_name": "JILLIAN",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093309-01",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05983500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.