Active NPI
Jill Hodge, LMSW
- Social Worker
- Clifton Park, NY
National Provider Identifier
1740679877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 055665-1
- Practice address
- 4 Fairchild SQ
Clifton Park, NY 12065-1254 - Phone
- (518) 664-5066
- Fax
- (518) 664-5728
- NPI assigned
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 055665-1 | NY | Primary |
Addresses
Primary practice location
4 Fairchild SQ
Clifton Park, NY 12065-1254
Mailing address
4 Fairchild SQ
Clifton Park, NY 12065-1254
Phone (518) 664-5066
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055665-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rd#1 Werner Rd LTD | Past | 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.
-
- Developmentally Disabled Services Day Training Agency
- Clifton Park, NY
- NPI 1699166017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1740679877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FAIRCHILD SQ",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651254",
"telephone_number": "518-664-5066",
"fax_number": "518-664-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FAIRCHILD SQ",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120651254",
"telephone_number": "518-664-5066",
"fax_number": "518-664-5728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "JILL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "055665-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.