Individual provider Active NPI

Jesse Truxton, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1801430145
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100719 Issued in NY
Practice address
11247 Queens Blvd Ste 104
Forest Hills, NY 11375-7418
Phone
(347) 391-4205
NPI assigned
Oct 30, 2019
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113802 NY
Clinical Social Worker 1041C0700X 100719 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

11247 Queens Blvd Ste 104
Forest Hills, NY 11375-7418

Mailing address

7732 Vleigh PL Apt B
Flushing, NY 11367-3146

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
I20250826002420 NY Practitioner - Clinical Social Worker 7315447059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2502 86TH St
FL 3
Brooklyn, NY 11214-4440

66 E Flagler St
Miami, FL 33130-1807

7601 147TH St
Flushing, NY 11367-3148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113802NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 21, 2025 Accepting new patients
Lana Gaiton Psychological Services, PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

2502 86th St
Fl 3
Brooklyn, NY 11214
Phone (347) 391-4205

11247 Queens Blvd
Forest Hills, NY 11375
Phone (347) 391-4250

11247 Queens Blvd
Ste 104
Forest Hills, NY 11375
Phone (347) 391-4205

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 2

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1801430145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 VLEIGH PL APT B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD STE 104",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757418",
            "telephone_number": "347-391-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUXTON",
        "first_name": "JESSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113802",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100719",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.