Individual provider Active NPI

Jane Magenheimer, LCSW

  • Clinical Social Worker
  • Seaford, NY
National Provider Identifier
1962557017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO18591 Issued in NY
Practice address
3938 David PL
Seaford, NY 11783-1519
Phone
(516) 826-5145
Fax
(518) 679-5243
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO18591 NY Primary

Addresses

Primary practice location

3938 David PL
Seaford, NY 11783-1519

Mailing address

3938 David PL
Seaford, NY 11783-1519
Phone (516) 826-5145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2021 through Mar 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RO18591NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Louis and Jane Magenheimer CSWS, PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962557017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 DAVID PL",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831519",
            "telephone_number": "516-826-5145",
            "fax_number": "518-679-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 DAVID PL",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831519",
            "telephone_number": "516-826-5145",
            "fax_number": "518-679-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGENHEIMER",
        "first_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO18591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

Verify at the official NPI Registry.