Jeanette Koesterich, LCSW BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0051831 Issued in NY

Practice address

15 Minor CT
West Nyack, NY 10994-1110

Phone

(845) 623-7986

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1891856761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MINOR CT",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941110",
            "telephone_number": "845-623-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MINOR CT",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941110",
            "telephone_number": "845-623-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTERICH",
        "first_name": "JEANETTE",
        "credential": "LCSW BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0051831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyemi Kim, LAC.
• Raymond Kim, ACUPUNCTURE
• Leslie Klayman, M.S.,C.C.C.,SLP
• Stephen A Klein, M.D.
• Michele Dana Koenig, LPC, LMFT
• Livia Kohn, PA-C
• Svetlana Korenfeld, MD
• Ellen Leah Kotwas-Song, M.D.
• Arthur M Kozin, M.D.
• Julie Ann Krauchuk, FNP

• Clinical Social Worker in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.