Jillian Rae Humphrey, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

128479 Issued in NY

Practice address

7014 Big Tree Rd
Pavilion, NY 14525-9138

Phone

(585) 584-3115

NPI assigned

Aug 20, 2025

Last updated

Aug 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pavilion Central School

  • Local Education Agency (LEA)
  • Pavilion, NY
  • NPI 1598806135
  NPD (past)
• Pavilion Central School

  • Local Education Agency (LEA)
  • Pavilion, NY
  • NPI 1699827584
  NPD (past)

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1619854650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9694 ROANOKE RD",
            "city": "STAFFORD",
            "state": "NY",
            "postal_code": "141439536",
            "telephone_number": "716-983-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 BIG TREE RD",
            "city": "PAVILION",
            "state": "NY",
            "postal_code": "145259138",
            "telephone_number": "585-584-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JILLIAN",
        "middle_name": "RAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "128479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angels Heart Medical Transportation LLC
• Lydia Courtney
• Melissa E. Cutcliffe, DPT
• Miranda Feliciano, LPN
• Marie Lynn Hart, RN
• Catherine C. Johns, M.S., SLP-L
• Nicole Lobello
• Pavilion Central School
• Pavilion Central School
• Danyle G Raines, COTA

• School Social Worker in Pavilion, NY
• Providers in Pavilion, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.