Individual provider Active NPI

Jennifer Hahn Murayama, L.C.S.W.

  • Social Worker
  • New York, NY
National Provider Identifier
1699000711
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0778781 Issued in NY
Practice address
936 Broadway FL 2
New York, NY 10010-8104
Phone
(212) 879-4900
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0778781 NY
Social Worker 104100000X 0778781 NY Primary

Addresses

Primary practice location

936 Broadway FL 2
New York, NY 10010-8104

Mailing address

936 Broadway FL 2
New York, NY 10010-8104
Phone (212) 879-4900

Other practice location 1

397 Bridge St Fl 7
Brooklyn, NY 11201-5247
Phone (917) 397-0548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0778781NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ackerman Institute for the Family PastSince Feb 9, 2020 Accepting new patients
Ackerman Institute for the Family Single Specialty PastSince Feb 9, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1699000711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108104",
            "telephone_number": "212-879-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108104",
            "telephone_number": "212-879-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Bridge St Fl 7",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015247",
            "country_code": "US",
            "telephone_number": "917-397-0548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURAYAMA",
        "first_name": "JENNIFER",
        "middle_name": "HAHN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0778781",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0778781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.