Active NPI
Jacob Miner
- Social Worker
- Albany, NY
National Provider Identifier
1851741441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 100221
- Practice address
- 920 Lark Dr
Albany, NY 12207-1300 - Phone
- (518) 465-4771
- NPI assigned
- Jun 15, 2016
- Last updated
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 100221 | NY | Primary |
Addresses
Primary practice location
920 Lark Dr
Albany, NY 12207-1300
Mailing address
920 Lark Dr
Albany, NY 12207-1300
Phone (518) 465-4771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100221 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1851741441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 LARK DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122071300",
"telephone_number": "518-465-4771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 LARK DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122071300",
"telephone_number": "518-465-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "JACOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "100221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.