Active NPI
Jenny Rafferty, LMSW
- Social Worker
- Elmira, NY
National Provider Identifier
1588436323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119829
- Practice address
- 600 Roe Ave
Elmira, NY 14905-1676 - Phone
- (607) 737-4100
- Fax
- (607) 735-4663
- NPI assigned
- Oct 25, 2023
- 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 | 119829 | NY | Primary |
Addresses
Primary practice location
600 Roe Ave
Elmira, NY 14905-1676
Mailing address
53 Dininny PL
Elmira, NY 14905-2305
Phone (607) 592-6175
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 |
|---|---|---|---|
| 119829 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1588436323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 DININNY PL",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149052305",
"telephone_number": "607-592-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ROE AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051676",
"telephone_number": "607-737-4100",
"fax_number": "607-735-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFFERTY",
"first_name": "JENNY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-25",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.