NPIMap

Organization Active NPI

Jennifer Ufko, LCSW, PLLC

  • Clinical Social Worker
  • Hauppauge, NY
National Provider Identifier
1629471552
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R070197-1 Issued in NY
Legal business name
JENNIFER UFKO, LCSW, PLLC
Practice address
111 Smithtown Byp Ste 207
Hauppauge, NY 11788-2512
Phone
(631) 374-5815
NPI assigned
Oct 6, 2014
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Mrs. Jennifer Ufko, LCSWNPI 1215928395
Title
Owner
Phone
(631) 374-5815

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 Worker 1041C0700X R070197-1 NY Primary

Addresses

Primary practice location

111 Smithtown Byp Ste 207
Hauppauge, NY 11788-2512

Mailing address

86 Woody LN
Oakdale, NY 11769-1539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150212000753 NY Part B Supplier - Clinic/Group Practice 9234454315 Receives reassigned benefits from 7 practitioners
Practice locations: Hauppauge, NY

National Provider Directory

National Provider Directory

Locations

188 Park Ave
Ste D
Amityville, NY 11701
Phone (631) 374-5815

111 Smithtown Byp
Ste 207
Hauppauge, NY 11788
Phone (631) 374-5815

22 Lawrence Ave
Ste 300
Smithtown, NY 11787
Phone (631) 374-5815

22 Lawrence Ave
Ste 305
Smithtown, NY 11787
Phone (631) 261-0714

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1629471552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WOODY LN",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP STE 207",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882512",
            "telephone_number": "631-374-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER UFKO, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "UFKO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-374-5815",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070197-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.