Active NPI
Jenette C Adams, LMSW
- Social Worker
- West Brentwood, NY
National Provider Identifier
1588033179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 085325
- Practice address
- 998 Crooked Hill Rd
West Brentwood, NY 11717-1019 - Phone
- (631) 761-2117
- Fax
- (631) 761-3388
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 085325 | NY | Primary |
Addresses
Primary practice location
998 Crooked Hill Rd
West Brentwood, NY 11717-1019
Mailing address
998 Crooked Hill Rd
West Brentwood, NY 11717-1019
Phone (631) 761-2117
Other names 1
- Jenette C Bon
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 |
|---|---|---|---|
| 085325 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1588033179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 CROOKED HILL RD",
"city": "WEST BRENTWOOD",
"state": "NY",
"postal_code": "117171019",
"telephone_number": "631-761-2117",
"fax_number": "631-761-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 CROOKED HILL RD",
"city": "WEST BRENTWOOD",
"state": "NY",
"postal_code": "117171019",
"telephone_number": "631-761-2117",
"fax_number": "631-761-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JENETTE",
"middle_name": "C",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "085325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENETTE",
"last_name": "BON",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.