Individual provider Active NPI

Jenny Dzurica, MSW

  • Clinical Social Worker
  • Liberty, NY
National Provider Identifier
1801344031
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
20 Community LN
Liberty, NY 12754-2851
Phone
(845) 292-8770
NPI assigned
Sep 16, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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 Primary

Addresses

Primary practice location

20 Community LN
Liberty, NY 12754-2851

Mailing address

20 Community LN
Liberty, NY 12754-2851
Phone (845) 292-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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
I20210506002852 NY Practitioner - Clinical Social Worker 1153730932 Reassigns benefits to 3 organizations
I20231115001053 TX Practitioner - Clinical Social Worker 1153730932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.C. Clinical CurrentSince May 1, 2022 Accepting new patients
Access: Supports for Living Inc CurrentSince Mar 24, 2021 Accepting new patients
Hudson Vista Medical,PC CurrentSince Jul 25, 2024 Accepting new patients
Access: Supports for Living Inc. CurrentSince Mar 24, 2021 Accepting new patients
Valera Medical, P.a. Clinical CurrentSince Oct 4, 2023 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

134 N 4th St
Ofc 2010
Brooklyn, NY 11249
Phone (201) 862-8175

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 343-5556

611 Newman St
Ste B
El Paso, TX 79902

Organizations & group practices 5

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1801344031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY LN",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542851",
            "telephone_number": "845-292-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY LN",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542851",
            "telephone_number": "845-292-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZURICA",
        "first_name": "JENNY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NY

Sources for this page

Verify at the official NPI Registry.