Jennifer Siemann, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096170 Issued in NY

Practice address

132 Jefferson Ave
Mineola, NY 11501-2712

Phone

(516) 741-0994

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Lutheran Pastoral Counseling Ministry IncGroup PAC ID 0749608032, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Lutheran Pastoral Counseling Ministry Inc

  • Community/Behavioral Health Agency
  • Mineola, NY
  • NPI 1083759146
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1962232777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BETHEL RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115072109",
            "telephone_number": "516-306-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012712",
            "telephone_number": "516-741-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMANN",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sultana Shumette, FNP
• Chelsea Sue Camacho Sicat, MD
• Genevieve Sicuranza, MD
• Fawwaz Anwar Siddiqui
• Irlene Antunes Siegel, DDS
• Samantha Sigurdsson, RPA-C
• Samantha Carole Siler, MD
• Joan Silke
• Tiffany Amador Silva
• Rachel Silverman, DDS

• Clinical Social Worker in Mineola, NY
• Providers in Mineola, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.

Verify at the official NPI Registry.