Active NPI
Jennifer Erica Stultz, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1598350928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1147983
- Practice address
- 1247 E 83Rd St
Brooklyn, NY 11236-4932 - Phone
- (917) 279-0687
- NPI assigned
- Mar 8, 2021
- Last updated
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 1147983 | NY | Primary |
Addresses
Primary practice location
1247 E 83Rd St
Brooklyn, NY 11236-4932
Mailing address
1247 E 83Rd St
Brooklyn, NY 11236-4932
Phone (917) 279-0687
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 |
|---|---|---|---|
| 1147983 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1598350928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 E 83RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364932",
"telephone_number": "917-279-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 E 83RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364932",
"telephone_number": "917-279-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULTZ",
"first_name": "JENNIFER",
"middle_name": "ERICA",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "1147983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.