Individual provider Active NPI

Jill Marian Zisman, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1972712339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R045204 Issued in NY
Practice address
176 W 86TH St
Suite 8D
New York, NY 10024-4003
Phone
(212) 579-4547
NPI assigned
May 22, 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 R045204 NY Primary

Addresses

Primary practice location

176 W 86TH St
Suite 8D
New York, NY 10024-4003

Mailing address

176 W 86TH St
Suite 8D
New York, NY 10024-4003
Phone (212) 579-4547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240503002326 FL Practitioner - Clinical Social Worker 6608969274 Reassigns benefits to 1 organization
Practice locations: West Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and B Counseling Services LLCGroup PAC ID 6103152269, 73 clinicians

Practice addresses (Care Compare)

3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone (954) 533-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R045204NYMDClinical Social Worker
21929FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A & B Counseling Services LLC CurrentSince Nov 14, 2024 Accepting new patients
Catholic Charities Neighborhood Services, Inc. Past Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients
A & B Counseling LLC PastSince Nov 14, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: zismanj@lighthouseguild.direct.welligent.com

Organizations & group practices 4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972712339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 W 86TH ST",
            "address_2": "SUITE 8D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244003",
            "telephone_number": "212-579-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 W 86TH ST",
            "address_2": "SUITE 8D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244003",
            "telephone_number": "212-579-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISMAN",
        "first_name": "JILL",
        "middle_name": "MARIAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.