Individual provider Active NPI

Jennifer Lee Lapenna, LCSW

  • Clinical Social Worker
  • Ithaca, NY
National Provider Identifier
1689044042
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073542 Issued in NY
Practice address
555 Warren Rd
Ithaca, NY 14850-1862
Phone
(607) 257-1551
NPI assigned
Sep 29, 2015
Last updated
Sep 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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 073542 NY Primary

Addresses

Primary practice location

555 Warren Rd
Ithaca, NY 14850-1862

Mailing address

555 Warren Rd
Counseling for School Success,
Ithaca, NY 14850-1862
Phone (607) 257-1551

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
I20190326002866 NY Order and Referring Only - Clinical Social Worker 0941540157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073542NYMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
TST Boces Past Accepting new patients
Franziska Racker Centers Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1689044042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WARREN RD",
            "address_2": "COUNSELING FOR SCHOOL SUCCESS,",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501862",
            "telephone_number": "607-257-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WARREN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501862",
            "telephone_number": "607-257-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPENNA",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.