Active NPI
Jennifer Lynn Woodard
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1730328899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 55 Westchester SQ
Bronx, NY 10461-3525 - Phone
- (718) 931-4045
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
55 Westchester SQ
Bronx, NY 10461-3525
Mailing address
222 E 17TH St
Apt 4
New York, NY 10003-3662
Phone (918) 809-1393
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1730328899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E 17TH ST",
"address_2": "APT 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033662",
"telephone_number": "918-809-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WESTCHESTER SQ",
"city": "BRONX",
"state": "NY",
"postal_code": "104613525",
"telephone_number": "718-931-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.