Individual provider Active NPI

Lenore Jakiela

  • Social Worker
  • Dunkirk, NY
National Provider Identifier
1891235495
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
099987 Issued in NY
Practice address
186 Lake Shore Dr W
Dunkirk, NY 14048-1437
Phone
(716) 366-7660
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 099987 NY Primary

Addresses

Primary practice location

186 Lake Shore Dr W
Dunkirk, NY 14048-1437

Mailing address

200 Dunham Ave
Jamestown, NY 14701-2528

Other identifiers 1

IdentifierTypeStateIssuer
099987OtherNYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414000321 NY Practitioner - Clinical Social Worker 6608390505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099987NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shurmatz Counseling LCSW PC CurrentSince Mar 21, 2025 Accepting new patients

Locations

2355 Union Rd
Ste 200
Cheektowaga, NY 14227
Phone (716) 217-6112

950A Union Rd
Ste 328
West Seneca, NY 14224
Phone (716) 217-6112

6225 Sheridan Dr
Ste 222
Williamsville, NY 14221
Phone (716) 217-6112

Organizations & group practices 1

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1891235495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DUNHAM AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 LAKE SHORE DR W",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140481437",
            "telephone_number": "716-366-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKIELA",
        "first_name": "LENORE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "099987",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.