Active NPI
Diane Jaulus, LCSW-R
- Clinical Social Worker
- Yonkers, NY
National Provider Identifier
1942659289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R034761-1
- Practice address
- 2150 Central Park Ave
Yonkers, NY 10710-1856 - Phone
- (914) 830-4335
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R034761-1 | NY | Primary |
Addresses
Primary practice location
2150 Central Park Ave
Yonkers, NY 10710-1856
Mailing address
158 Birchwood Close
Chappaqua, NY 10514-3724
Phone (914) 238-4578
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040529000078 | NY | Practitioner - Clinical Social Worker | 0648251140 | Practice locations: Yonkers, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Fordham University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2150 Central Park Ave
Yonkers, NY 10710-1856
Phone (914) 830-4335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R034761-1 | NY | MD | Clinical Social Worker |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1942659289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 BIRCHWOOD CLOSE",
"city": "CHAPPAQUA",
"state": "NY",
"postal_code": "105143724",
"telephone_number": "914-238-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101856",
"telephone_number": "914-830-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAULUS",
"first_name": "DIANE",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R034761-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.