Individual provider Active NPI

Jean Mosteller Hynd, LCSW-R

  • Clinical Social Worker
  • Clarence, NY
National Provider Identifier
1770974131
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R070591 Issued in NY
Practice address
9070 Main St
Clarence, NY 14031-1825
Phone
(716) 632-3200
Fax
(716) 632-3233
NPI assigned
Feb 6, 2015
Last updated
Feb 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R070591 NY Primary

Addresses

Primary practice location

9070 Main St
Clarence, NY 14031-1825

Mailing address

9504 Boxwood Dr
Clarence Center, NY 14032-9251
Phone (716) 741-9710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202001201 NY Practitioner - Clinical Social Worker 2668755448 Practice locations: Clarence Center, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9504 Boxwood Dr
Clarence Center, NY 14032-9251
Phone (716) 803-2217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R070591NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Ministries of Western New York Inc Clinical PastSince Oct 30, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1770974131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9504 BOXWOOD DR",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329251",
            "telephone_number": "716-741-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311825",
            "telephone_number": "716-632-3200",
            "fax_number": "716-632-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYND",
        "first_name": "JEAN",
        "middle_name": "MOSTELLER",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence, NY

Sources for this page

Verify at the official NPI Registry.