Individual provider Active NPI

Jennifer A. Hili, LCSW-R

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1881754976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R060391-1 Issued in NY
Practice address
2021 Grand Concourse
Bronx, NY 10453-4304
Phone
(718) 960-0323
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R060391-1 NY Primary

Addresses

Primary practice location

2021 Grand Concourse
Bronx, NY 10453-4304

Mailing address

17 Oak Point Drive West
Bayville, NY 11709-0000
Phone (516) 782-1343

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R060391-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881754976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OAK POINT DRIVE WEST",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117090000",
            "telephone_number": "516-782-1343",
            "fax_number": "718-466-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534304",
            "telephone_number": "718-960-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILI",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R060391-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.