Individual provider Active NPI

Jessica Marie Esposito, LCSW

  • Social Worker
  • Mamaroneck, NY
National Provider Identifier
1578173118
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
096841 Issued in NY
Practice address
933 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1661
Phone
(914) 361-9571
NPI assigned
Aug 7, 2020
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109866 NY
Clinical Social Worker 1041C0700X 096841 NY
Social Worker 104100000X 096841 NY Primary

Addresses

Primary practice location

933 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1661

Mailing address

933 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1661
Phone (914) 361-9571

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

LicenseStateTypeSpecialty
096841NYMDSocial Worker
109866NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Esposito Psychotherapy, LCSW, PC Clinical Current Accepting new patients
The Fortune Society Inc. Clinical PastSince Aug 1, 2020 Accepting new patients

Locations

933 Mamaroneck Ave
Ste 202
Mamaroneck, NY 10543
Phone (914) 257-3754

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1578173118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 MAMARONECK AVE STE 202",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431661",
            "telephone_number": "914-361-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 MAMARONECK AVE STE 202",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431661",
            "telephone_number": "914-361-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109866",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096841",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.