Individual provider Active NPI

Jennifer Rachael Bakal, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1578701579
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070840-1 Issued in NY
Practice address
116 John St FL 27
New York, NY 10038-3414
Phone
(212) 385-0086
NPI assigned
Jan 28, 2009
Last updated
Jan 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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 070840-1 NY Primary

Addresses

Primary practice location

116 John St FL 27
New York, NY 10038-3414

Mailing address

215 E 96TH St Apt 17R
New York, NY 10128-3947
Phone (212) 426-6826

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
I20151006002491 NY Practitioner - Clinical Social Worker 3476861741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070840-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling LCSW, PLLC Clinical CurrentSince Sep 5, 2023 Accepting new patients
Cis Counseling Center Past Accepting new patients
Cis Counseling Center Inc Clinical Past Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

1129 Northern Blvd
Ste 404
Manhasset, NY 11030
Phone (516) 305-5531

57 W 57th St
Frnt 3
New York, NY 10019

Organizations & group practices 3

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1578701579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 96TH ST APT 17R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283947",
            "telephone_number": "212-426-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 JOHN ST FL 27",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100383414",
            "telephone_number": "212-385-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKAL",
        "first_name": "JENNIFER",
        "middle_name": "RACHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070840-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.