Individual provider Active NPI

Jennifer Mitgang, LCSW

  • Social Worker
  • Floral Park, NY
National Provider Identifier
1598840944
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R068984 Issued in NY
Practice address
27010 Grand Central Pkwy Apt 2a
Floral Park, NY 11005-1102
Phone
(516) 395-1272
Fax
(516) 706-1305
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R068984 NY Primary

Addresses

Primary practice location

27010 Grand Central Pkwy Apt 2a
Floral Park, NY 11005-1102

Mailing address

27010 Grand Central Pkwy Apt 2a
Floral Park, NY 11005-1102
Phone (516) 395-1272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000424 NY Practitioner - Clinical Social Worker 2769582501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R068984NYMDSocial Worker

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1598840944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27010 GRAND CENTRAL PKWY APT 2A",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110051102",
            "telephone_number": "516-395-1272",
            "fax_number": "516-706-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27010 GRAND CENTRAL PKWY APT 2A",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110051102",
            "telephone_number": "516-395-1272",
            "fax_number": "516-706-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITGANG",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R068984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.