Jennifer Ivy Roth Prussin, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

084368 Issued in NY

Practice address

487 S Broadway Ste 220
C/O WJCS
Yonkers, NY 10705-3269

Phone

(914) 423-4433

Fax

(914) 423-9434

NPI assigned

Dec 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1588933808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WARBURTON AVE FL 3",
            "address_2": "C/O WJCS",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012721",
            "telephone_number": "914-231-2590",
            "fax_number": "914-231-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 S BROADWAY STE 220",
            "address_2": "C/O WJCS",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053269",
            "telephone_number": "914-423-4433",
            "fax_number": "914-423-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSSIN",
        "first_name": "JENNIFER",
        "middle_name": "IVY ROTH",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danielle Provino
• Sean Nicholas Prowell, M.S. OTR/L
• Danuta Z Przechodzka, MD
• Tadeusz W Przechodzki, MD
• Psychological Consultation and Therapy Services, PLLC
• Psychotherapy Consultation Services LCSW PLLC
• Alana Rachel Pudalov

• Social Worker in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.