Jennifer Lisa Wood, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

P71801 Issued in NY

Practice address

2233 Nesconset Hwy
Suite 104
Lake Grove, NY 11755-1000

Phone

(631) 737-5559

Fax

(631) 737-0001

NPI assigned

Jul 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Freedman-Cuttler Group of Clinical Social Workers, PLLC

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1528223401
  NPD (past)

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1851521371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EAGLE LN",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117881209",
            "telephone_number": "631-921-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 NESCONSET HWY",
            "address_2": "SUITE 104",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551000",
            "telephone_number": "631-737-5559",
            "fax_number": "631-737-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P71801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW LICENSE",
            "identifier": "P71801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wigs Plus
• Ronald Scott Wilensky, D.D.S.
• Jaia Williams, LMT
• Anita Marie Wong, OTR/L
• Elizabeth Ann Wood, NP
• James Yong Zhen Wu, M.D.
• Allen Young
• Devon Zappasodi, LMSW
• Steven C Zarro
• Kimberly D. Zedalis

• Social Worker in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.