Jennifer Decapria Close, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086640 Issued in NY

Practice address

8 Denison Pkwy E Ste 305
Corning, NY 14830-2644

Phone

(607) 654-4450

NPI assigned

Mar 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer L Decapria Former name

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

Specialty

Clinical Social Worker

Education

State University of New York at Buffalo School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Counseling Practicing Licensed Clinical Social Work PLLCGroup PAC ID 4284008889, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renew Counseling Practicing Licensed Clinical Social Work PLLC

  • Clinical Social Worker
  • Corning, NY
  • NPI 1497451769
  Medicare reassignment Care Compare group NPD Authorized official
• J & J Partner Consulting, LLC

  • Mental Health Counselor
  • Corning, NY
  • NPI 1841004967
  NPD Authorized official
• Erwin Psychiatric NP PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corning, NY
  • NPI 1639939069
  NPD

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1619471422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DENISON PKWY E STE 305",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302644",
            "telephone_number": "607-654-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DENISON PKWY E STE 305",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302644",
            "telephone_number": "607-654-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECAPRIA CLOSE",
        "first_name": "JENNIFER",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-11-08",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DECAPRIA",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Waters Licensed Clinical Social Work, PLLC
• Kevin Patrick Cunningham, MD
• Julie D Curran, O.D.
• Jacqueline Czwojdak, PA-C
• Darci Davis, LCSW
• Angie L. Degraff-Dacey, LPN
• Hannah Delfavero
• Cynthia Demuth, FNP
• Meghan Dickens, LMSW
• Gretta Dickerman

• Clinical Social Worker in Corning, NY
• Providers in Corning, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.