Active NPI
Jennifer E Madera, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1942897855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 110337
- Practice address
- 2661 Decatur Ave Apt 2D
Bronx, NY 10458-4241 - Phone
- (347) 557-3107
- NPI assigned
- Dec 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | 110337 | NY | Primary |
Addresses
Primary practice location
2661 Decatur Ave Apt 2D
Bronx, NY 10458-4241
Mailing address
2527 Glebe Ave
Bronx, NY 10461-3109
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110337 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1942897855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 GLEBE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104613109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2661 DECATUR AVE APT 2D",
"city": "BRONX",
"state": "NY",
"postal_code": "104584241",
"telephone_number": "347-557-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADERA",
"first_name": "JENNIFER",
"middle_name": "E",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-26",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "110337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.