Individual provider Active NPI

Jennifer Scavera Battaglino, LCSW

  • Clinical Social Worker
  • Larchmont, NY
National Provider Identifier
1659505741
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
062635 Issued in NY
Practice address
178 Myrtle Blvd Ste 107
Larchmont, NY 10538-2035
Phone
(914) 315-1823
Fax
(914) 873-4851
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 062635 NY Primary

Addresses

Primary practice location

178 Myrtle Blvd Ste 107
Larchmont, NY 10538-2035

Mailing address

178 Myrtle Blvd Ste 107
Larchmont, NY 10538-2035
Phone (914) 315-1823

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
I20150518000769 NY Practitioner - Clinical Social Worker 8325368269 Practice locations: Larchmont, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

178 Myrtle Blvd
107 Suite 107
Larchmont, NY 10538-2035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
062635NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1659505741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 MYRTLE BLVD STE 107",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382035",
            "telephone_number": "914-315-1823",
            "fax_number": "914-873-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 MYRTLE BLVD STE 107",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382035",
            "telephone_number": "914-315-1823",
            "fax_number": "914-873-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAGLINO",
        "first_name": "JENNIFER",
        "middle_name": "SCAVERA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "062635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.