Jennifer Carolina Macancela

Primary specialty

Social WorkerTaxonomy code 104100000X

License

122737 Issued in NY

Practice address

1056 W Jericho Tpke
Smithtown, NY 11787-3212

Phone

(631) 656-9550

NPI assigned

Feb 19, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1972368967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FRONT AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175906",
            "telephone_number": "631-710-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873212",
            "telephone_number": "631-656-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACANCELA",
        "first_name": "JENNIFER",
        "middle_name": "CAROLINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "122737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Lynch
• Howard S Lynn, MD
• M Ather Mirza PC
• Ma Healing Therapy
• Lanie Alvarez Maagad
• Gilda Macdonald, R-LCSW
• Kristin J Macdougall, MD
• Melissa Madarasz, CCC-SLP
• Amy West Madenberg, LMSW
• Tomal Kumar Magar

• Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.