Individual provider Active NPI

Jesica Elizabeth McLaughlin

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1942043153
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
460 E 21St St Apt 1F
Brooklyn, NY 11226-6090
Phone
(347) 777-0552
NPI assigned
Jun 15, 2024
Last updated
Jun 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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 Primary

Addresses

Primary practice location

460 E 21St St Apt 1F
Brooklyn, NY 11226-6090

Mailing address

33 W 60TH St FL 6
New York, NY 10023-7905
Phone (718) 228-9820

Other practice location 1

33 W 60th St Fl 6
New York, NY 10023-7905
Phone (718) 520-8000

Other practice location 2

2825 3rd Ave Ste 402
Bronx, NY 10455-4073
Phone (718) 520-8000

Other names 1

  • Jesica Elizabeth Wilson Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athenapsych LLC CurrentSince Jul 13, 2025 Accepting new patients
Athenapsych LLC PastSince Aug 2, 2021 Accepting new patients

Locations

33 W 60th St
Fl 6
New York, NY 10023
Phone (212) 227-6100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1942043153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W 60TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237905",
            "telephone_number": "718-228-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E 21ST ST APT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266090",
            "telephone_number": "347-777-0552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 60th St Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100237905",
            "country_code": "US",
            "telephone_number": "718-520-8000",
            "fax_number": "718-228-9820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 3rd Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104554073",
            "country_code": "US",
            "telephone_number": "718-520-8000",
            "fax_number": "718-228-9820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "JESICA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESICA",
            "last_name": "WILSON",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.