Jennifer Convissor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078559 Issued in NY

Practice address

267 Central Ave
1St Floor
White Plains, NY 10606-1257

Phone

(914) 357-5553

NPI assigned

Mar 10, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1679014583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 CENTRAL AVE",
            "address_2": "1ST FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061257",
            "telephone_number": "914-357-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 CENTRAL AVE",
            "address_2": "1ST FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061257",
            "telephone_number": "914-357-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVISSOR",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Connaughton
• Meghan Aileen Conroy, M.D.
• Peggy C Constante, M.S., CCC-SLP
• Danielle Constantino, FNP
• Jaline Michelle Contreras
• Cynthia Conway, NP
• Cook Learn Live
• Brianne L Cook
• Christine R. Cook, PT
• Gina Marie Cook, MD

• Clinical Social Worker in White Plains, NY
• Providers in White Plains, 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 Mar 10, 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.