Individual provider Active NPI

Jodi Lerner

  • Social Worker
  • Cold Spring Harbor, NY
National Provider Identifier
1750840336
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105963-1 Issued in NY
Practice address
84 White Hill Rd
Cold Spring Harbor, NY 11724-1107
Phone
(631) 427-7979
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105963-1 NY Primary

Addresses

Primary practice location

84 White Hill Rd
Cold Spring Harbor, NY 11724-1107

Mailing address

84 White Hill Rd
Cold Spring Harbor, NY 11724-1107
Phone (646) 436-5634

Other practice location 1

33 W 60th St Fl 4
New York, NY 10023-7905
Phone (212) 333-3444

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NYC

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

LicenseStateTypeSpecialty
105963-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Contemporary Psychotherapy PastSince Jan 14, 2024 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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1750840336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WHITE HILL RD",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241107",
            "telephone_number": "646-436-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 WHITE HILL RD",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241107",
            "telephone_number": "631-427-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 60th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100237905",
            "country_code": "US",
            "telephone_number": "212-333-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERNER",
        "first_name": "JODI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105963-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NYC",
            "affiliation": "N",
            "address_1": "84 White Hill Rd",
            "city": "Cold Spring Harbor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117241107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cold Spring Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.