Jackie Rose Chessen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

078647 Issued in NY

Practice address

8866 Myrtle Ave
Glendale, NY 11385-7857

Phone

(718) 850-0400

NPI assigned

Nov 12, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1811298409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MILL DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214076",
            "telephone_number": "516-965-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8866 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857857",
            "telephone_number": "718-850-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESSEN",
        "first_name": "JACKIE",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078647",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "1181877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Chamikles, D.O.
• Julia Chan, O.D.
• Siu Mei Chan, OTR/L
• Johnny Chang, DPT, L.AC.
• Alexis Chernoff, BCBA, LBA
• Child Care Pediatrics, P.C.
• Kevin Chin
• Francesco Chiodi
• Katie Jia Chou, DDS
• John Chu, PA-C

• All providers in Glendale, NY
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.