NPIMap

Organization Active NPI

Jentex Training & Consulting

  • Clinical Social Worker
  • Brentwood, NY
National Provider Identifier
1609380435
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076384 Issued in NY
Legal business name
JENTEX TRAINING & CONSULTING
Practice address
159 Twin Lawns Ave
Brentwood, NY 11717-6019
Phone
(631) 231-4704
Fax
(631) 231-4704
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Dawn Shedrick, LCSW-RNPI 1760669923
Title
Ceo
Phone
(631) 231-4704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 076384 NY Primary

Addresses

Primary practice location

159 Twin Lawns Ave
Brentwood, NY 11717-6019

Mailing address

PO Box 430
Central Islip, NY 11722-0430
Phone (631) 231-4704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1609380435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117220430",
            "telephone_number": "631-231-4704",
            "fax_number": "631-231-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 TWIN LAWNS AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176019",
            "telephone_number": "631-231-4704",
            "fax_number": "631-231-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENTEX TRAINING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "SHEDRICK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-231-4704",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.