Individual provider Active NPI

Jean-Marie Niebuhr, LCSW

  • Clinical Social Worker
  • Rhinebeck, NY
National Provider Identifier
1588809495
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078756 Issued in NY
Practice address
47 W Market St
Rhinebeck, NY 12572-1413
Phone
(845) 486-2703
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 075624 NY
Clinical Social Worker 1041C0700X 078756 NY Primary
School Social Worker 1041S0200X 078756 NY

Addresses

Primary practice location

47 W Market St
Rhinebeck, NY 12572-1413

Mailing address

144 Mountainview Rd
Tillson, NY 12486-1228
Phone (845) 546-6820

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
078756NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. Clinical PastSince Apr 1, 2019 Accepting new patients
Lexington Center for Recovery, Inc. Past Accepting new patients
Access: Supports for Living Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1588809495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MOUNTAINVIEW RD",
            "city": "TILLSON",
            "state": "NY",
            "postal_code": "124861228",
            "telephone_number": "845-546-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W MARKET ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721413",
            "telephone_number": "845-486-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBUHR",
        "first_name": "JEAN-MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075624",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078756",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "078756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.