Individual provider Active NPI

Melinda Jimenez, LCSW

  • School Social Worker
  • New York, NY
National Provider Identifier
1780998591
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
070363 Issued in NY
Practice address
2253 3Rd Ave
3Rd Floor
New York, NY 10035-2206
Phone
(212) 289-6650
Fax
(212) 360-6149
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 070363 NY Primary

Addresses

Primary practice location

2253 3Rd Ave
3Rd Floor
New York, NY 10035-2206

Mailing address

2253 3Rd Ave
3Rd Floor
New York, NY 10035-2206
Phone (212) 289-6650

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
I20140410000451 NY Practitioner - Clinical Social Worker 4284866013 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070363NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Family Medical Center Inc Current Accepting new patients
Knapp Street Psychiatry, PC CurrentSince Jul 1, 2024 Accepting new patients
Open Door Family Medical Center, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Open Door Family Medical Center Inc CurrentSince Jun 16, 2025 Accepting new patients
Che Senior Psychological Services, PC CurrentSince Jul 1, 2024 Accepting new patients
MJHC Home Care, Inc. Past Accepting new patients
MJHS Hospice and Palliative Care Inc. Past Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA

Organizations & group practices 7

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1780998591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 3RD AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352206",
            "telephone_number": "212-289-6650",
            "fax_number": "212-360-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 3RD AVE",
            "address_2": "3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352206",
            "telephone_number": "212-289-6650",
            "fax_number": "212-360-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MELINDA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "070363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.