Active NPI
Jeremy Michael Bartlett, LMSW
- Social Worker
- Buffalo, NY
National Provider Identifier
1871215111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109135
- Practice address
- 400 Forest Ave
Buffalo, NY 14213-1207 - Phone
- (716) 816-2935
- Fax
- (716) 816-2550
- NPI assigned
- Sep 14, 2022
- 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 | 109135 | NY | Primary |
Addresses
Primary practice location
400 Forest Ave
Buffalo, NY 14213-1207
Mailing address
8645 Hennepin Ave
Niagara Falls, NY 14304-4429
Phone (716) 818-6848
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 |
|---|---|---|---|
| 109135 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1871215111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8645 HENNEPIN AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143044429",
"telephone_number": "716-818-6848",
"fax_number": "716-816-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FOREST AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131207",
"telephone_number": "716-816-2935",
"fax_number": "716-816-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "109135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.