Individual provider Active NPI

Jennie Rose Kogan, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1922696335
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110728 Issued in NY
Practice address
225 Lafayette St Apt 4C
New York, NY 10012-4012
Phone
(917) 342-2524
NPI assigned
Jan 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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 110728 NY Primary

Addresses

Primary practice location

225 Lafayette St Apt 4C
New York, NY 10012-4012

Mailing address

15 N Washington St Apt 1
Tarrytown, NY 10591-3679
Phone (914) 610-9986

Other practice location 1

225 Lafayette St Apt 4C
New York, NY 10012-4012
Phone (917) 342-2524

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

LicenseStateTypeSpecialty
110728NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1922696335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N WASHINGTON ST APT 1",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913679",
            "telephone_number": "914-610-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LAFAYETTE ST APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124012",
            "telephone_number": "917-342-2524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Lafayette St Apt 4C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100124012",
            "country_code": "US",
            "telephone_number": "917-342-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "JENNIE",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.