Apple Tree LCSW, PC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

APPLE TREE LCSW, PC.

Practice address

3630 Hill Blvd Ste 204a
Jefferson Valley, NY 10535-1520

Phone

(914) 302-2858

Fax

(914) 302-2859

NPI assigned

Jun 27, 2022

Last updated

Jun 27, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Kantor Jackman, LCSWNPI 1215225164

Title

Owner, Licensed Clinical Social Wor

Phone

(914) 772-6417

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Kantor Jackman, LCSW

  • Clinical Social Worker
  • Jefferson Valley, NY
  • NPI 1215225164
  Authorized official Same address or phone

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1952033144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 WOODFIELD CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982826",
            "telephone_number": "914-772-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HILL BLVD STE 204A",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351520",
            "telephone_number": "914-302-2858",
            "fax_number": "914-302-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE TREE LCSW, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "JACKMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KANTOR",
        "authorized_official_title_or_position": "OWNER, LICENSED CLINICAL SOCIAL WOR",
        "authorized_official_telephone_number": "914-772-6417",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Ann Aasheim
• Robert Alan Abdoo, MD
• Juliet E Albano
• Amna Ashfaq Podiatry DPM PC
• Nicolle C Aquije
• Amna Ashfaq
• Emily Azimi
• Vincent Beatty, DPT
• Daniel P Becker

• Community/Behavioral Health Agency in Jefferson Valley, NY
• Providers in Jefferson Valley, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.