Jennifer Sober, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0824301 Issued in NY

Practice address

80 Scott Ave
Castleton Elementary School
Castleton on Hudson, NY 12033-1336

Phone

(518) 732-7755

Fax

(518) 732-0495

NPI assigned

Oct 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1730583238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SCOTT AVE",
            "address_2": "CASTLETON ELEMENTARY SCHOOL",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120331336",
            "telephone_number": "518-732-7755",
            "fax_number": "518-732-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SCOTT AVE",
            "address_2": "CASTLETON ELEMENTARY SCHOOL",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120331336",
            "telephone_number": "518-732-7755",
            "fax_number": "518-732-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBER",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0824301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Peter Scanu, LMT
• Alyssa Maria Schaffer, MSED CCC-SLP
• Mary P Shierly, PA
• Yen Vu Sidoti
• Carly F Smith
• Rebecca Stewart, MSED
• Samantha Mary Teater, CCC-SLP
• Sarah Teller, M.S. CCC-SLP
• Leslie Van Buren Waite Jr., PSY.D.
• Colleen M Waters Fratianni

• Clinical Social Worker in Castleton on Hudson, NY
• Providers in Castleton on Hudson, 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 Oct 14, 2014; 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.