Individual provider Active NPI

Jonathan Jimmy Legum, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1700974144
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R057885-1 Issued in NY
Practice address
316 W 82ND St
Suite 2
New York, NY 10024-5356
Phone
(212) 724-0079
Fax
(212) 724-0079
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 R057885-1 NY Primary

Addresses

Primary practice location

316 W 82ND St
Suite 2
New York, NY 10024-5356

Mailing address

155 W 81St St
6C
New York, NY 10024-7215
Phone (212) 724-0079

Other identifiers 3

IdentifierTypeStateIssuer
357979OtherNYMHN
P3662467OtherNYOXFORD HEALTH PLANS
R057885OtherNYHIP HEALTH PLANS

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
I20040331001690 NY Practitioner - Clinical Social Worker 9931191871 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

316 W 82ND St
Suite 2
New York, NY 10024-5356
Phone (212) 724-0079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R057885-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Postgraduate Center for Mental Health PastSince Aug 1, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1700974144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W 81ST ST",
            "address_2": "6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247215",
            "telephone_number": "212-724-0079",
            "fax_number": "212-724-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 82ND ST",
            "address_2": "SUITE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245356",
            "telephone_number": "212-724-0079",
            "fax_number": "212-724-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGUM",
        "first_name": "JONATHAN",
        "middle_name": "JIMMY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057885-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "357979",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3662467",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH PLANS",
            "identifier": "R057885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.