Individual provider Active NPI

Jill Lisa Winner, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1790959740
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069539-1 Issued in NY
Practice address
435 E 65TH St
Apartment 7G
New York, NY 10065-6968
Phone
(212) 794-2893
NPI assigned
Apr 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2008

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 069539-1 NY Primary

Addresses

Primary practice location

435 E 65TH St
Apartment 7G
New York, NY 10065-6968

Mailing address

435 E 65TH St
Apartment 7G
New York, NY 10065-6968
Phone (212) 794-2893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140115000537 NY Practitioner - Clinical Social Worker 0941438113 Reassigns benefits to 1 organization
I20230823003606 CT Practitioner - Clinical Social Worker 0941438113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Centers IncGroup PAC ID 6507753324, 5 clinicians

Practice addresses (Care Compare)

20 Bridge St
Greenwich, CT 06830-5238
Phone (203) 629-2822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069539NYMDSocial Worker
069539-1NYMDClinical Social Worker
12488CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centers Inc CurrentSince Jul 25, 2023 Accepting new patients
Family Centers Inc Clinical CurrentSince Jul 25, 2023 Accepting new patients
Julia Dyckman Andrus Memorial, Inc. CurrentSince Dec 1, 2013 Accepting new patients

Locations

590 Post Rd
Darien, CT 06820
Phone (203) 655-0547

20 Bridge St
Greenwich, CT 06830
Phone (203) 629-2822

986 Bedford St
Stamford, CT 06905
Phone (203) 324-3167

19 Greenridge Ave
White Plains, NY 10605
Phone (914) 949-7680

1156 N Broadway
Yonkers, NY 10701
Phone (914) 965-3700

Organizations & group practices 3

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": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208736000000",
    "number": "1790959740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E 65TH ST",
            "address_2": "APARTMENT 7G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656968",
            "telephone_number": "212-794-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E 65TH ST",
            "address_2": "APARTMENT 7G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656968",
            "telephone_number": "212-794-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNER",
        "first_name": "JILL",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069539-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.