Samuel Jaffe, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

121241-01 Issued in NY

Practice address

175 W 72ND St
New York, NY 10023-3203

Phone

(877) 996-2326

NPI assigned

Jan 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sam Jaffe Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1891556767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 41ST ST APT 28",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233203",
            "telephone_number": "877-996-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "SAMUEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "121241-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "JAFFE",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mindy L. Jaffe, MINDY JAFFE, PNP
• Paul Jaffe, LCSW
• Randi E. Jaffe, DC
• Robert Justin Jaffe, M.D.
• Russell Jaffe, MD
• Shirlee Jaffe, MD
• Susan Jaffe, M.D.
• William Jaffe, MD
• Andrea P Jaffee, LCSW
• Frederic T Jaffee, PSY.D.

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.