New Beginnings Licensed Clinical Social Work Services, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R046903-1 Issued in NY

Legal business name

NEW BEGINNINGS LICENSED CLINICAL SOCIAL WORK SERVICES, P.C.

Practice address

363 Route 111
Ste 103
Smithtown, NY 11787-4756

Phone

(631) 265-3133

Fax

(631) 265-3205

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Jessen, L.C.S.W.-RNPI 1740242585

Title

Psychotherapist

Phone

(631) 265-3133

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie Jessen, L.C.S.W

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1740242585
  NPD (past) Authorized official

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1730320979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111",
            "address_2": "STE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874756",
            "telephone_number": "631-265-3133",
            "fax_number": "631-265-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111",
            "address_2": "STE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874756",
            "telephone_number": "631-265-3133",
            "fax_number": "631-265-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS LICENSED CLINICAL SOCIAL WORK SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "JESSEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "631-265-3133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W.-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046903-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ashley Negron
• Eric Scott Neithardt, R-LCSW
• Maureen L Nelson, SLP
• Andrea Elizabeth Neville, FNP
• New Beginnings Chiropractic, PC
• New Direction Group LTD
• New Health Medical
• New Horizons
• New Leaf Medical Care PLLC
• New Moon Mental Health Counseling Services, PC

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, 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 18, 2009; 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.