Individual provider Active NPI

Jesana Fernandez, LCSW

  • Clinical Social Worker
  • Ossining, NY
National Provider Identifier
1598091548
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73 082818 Issued in NY
Practice address
165 Main St
Ossining, NY 10562-4702
Phone
(646) 236-1423
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 73 082818 NY Primary

Addresses

Primary practice location

165 Main St
Ossining, NY 10562-4702

Mailing address

155 Main St
Brewster, NY 10509-1521
Phone (914) 359-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082818NYMDSocial Worker
73 082818NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Family Medical Center Inc CurrentSince Nov 26, 2022 Accepting new patients

Locations

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA

Organizations & group practices 1

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": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1598091548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091521",
            "telephone_number": "914-359-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624702",
            "telephone_number": "646-236-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JESANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 082818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

Verify at the official NPI Registry.