Individual provider Active NPI

Jeanette Miriam Feingold, LCSW-R,ACSW

  • Clinical Social Worker
  • Valley Stream, NY
National Provider Identifier
1699916403
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027976-1 Issued in NY
Practice address
50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone
(516) 569-6600
NPI assigned
Mar 9, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 R027976-1 NY Primary

Addresses

Primary practice location

50 W Hawthorne Ave
Valley Stream, NY 11580-6223

Mailing address

50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone (516) 569-6600

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
I20090327000337 NY Practitioner - Clinical Social Worker 0143387621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30 Hempstead Ave
Suite H4
Rockville Centre, NY 11570-4034
Phone (516) 428-7907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027976-1NYMDClinical Social Worker
027976NYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanette M. Feingold, LCSW, PC Clinical CurrentSince Sep 1, 2020 Accepting new patients

Locations

30 Hempstead Ave
Ste H4
Rockville Ctr, NY 11570
Phone (516) 428-7907

Organizations & group practices 1

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1699916403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806223",
            "telephone_number": "516-569-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806223",
            "telephone_number": "516-569-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINGOLD",
        "first_name": "JEANETTE",
        "middle_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "LCSW-R,ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027976-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.