Individual provider Active NPI

Jennifer Leigh Sachs, LCSW

  • Clinical Social Worker
  • Bethpage, NY
National Provider Identifier
1861088213
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090671 Issued in NY
Practice address
15 Grumman Rd W Ste 1000
Bethpage, NY 11714-5028
Phone
(516) 465-4700
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 090671 NY Primary

Addresses

Primary practice location

15 Grumman Rd W Ste 1000
Bethpage, NY 11714-5028

Mailing address

15 Grumman Rd W Ste 1000
Bethpage, NY 11714-5028
Phone (516) 465-9275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
090671NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Safe Center Li Inc CurrentSince May 7, 2024 Accepting new patients
Brandon Residential Treatment Center, Inc. PastSince Dec 1, 2020 Accepting new patients

Locations

15 Grumman Rd W
Ste 1000
Bethpage, NY 11714
Phone (516) 465-4700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1861088213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GRUMMAN RD W STE 1000",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145028",
            "telephone_number": "516-465-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRUMMAN RD W STE 1000",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145028",
            "telephone_number": "516-465-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.