Individual provider Active NPI

Mirla Jimenez, LMSW

  • Social Worker
  • Yonkers, NY
National Provider Identifier
1942816855
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
109177 Issued in NY
Practice address
20 S Broadway Ste 402
Yonkers, NY 10701-3723
Phone
(914) 345-5900
NPI assigned
Sep 17, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 109177 NY Primary

Addresses

Primary practice location

20 S Broadway Ste 402
Yonkers, NY 10701-3723

Mailing address

580 White Plains Rd Ste 510
Tarrytown, NY 10591-5152
Phone (914) 345-5900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210003357 NY Practitioner - Clinical Social Worker 3173017811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1420 Ferris Place
Suite 1
Bronx, NY 10461-3611

279 Main St
Suite 204
New Paltz, NY 12561-1623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109177NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health CurrentSince Dec 3, 2025 Accepting new patients
The Institute for Family Health Current Accepting new patients
The Mental Health Association of Westchester County, Inc. CurrentSince Sep 20, 2020 Accepting new patients
The Institute for Family Health CurrentSince Dec 3, 2025 Accepting new patients
The Mental Health Association of Westchester County - Social Care Network PastSince Sep 20, 2020 Accepting new patients

Locations

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

580 White Plains Rd
Ste 510
Tarrytown, NY 10591
Phone (518) 312-6335

20 S Broadway
Ste 402
Yonkers, NY 10701
Phone (914) 269-1550

Organizations & group practices 5

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1942816855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WHITE PLAINS RD STE 510",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915152",
            "telephone_number": "914-345-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S BROADWAY STE 402",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013723",
            "telephone_number": "914-345-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MIRLA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.