Jamie Svenson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090650 Issued in NY

Practice address

431 Beach 129TH St
Belle Harbor, NY 11694-1516

Phone

(718) 318-3434

Fax

(718) 318-3723

NPI assigned

Apr 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Boroden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Balance Breath LCSW PLLC

  • Clinical Social Worker
  • Amityville, NY
  • NPI 1366385767
  NPD Authorized official

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1992325146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 BEACH 129TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BEACH 129TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941516",
            "telephone_number": "718-318-3434",
            "fax_number": "718-318-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENSON",
        "first_name": "JAMIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090650",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BORODEN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bridget Sirgiovanni
• Jennifer Sitler-Redpath, MA, CCC/SLP
• Elana Rebecca Skyer, MA, CCC - SLP
• South Shore Pediatrics PC
• Valencia Steele
• Anne Elizabeth Sweeney-Meade, MS CCC SLP
• Matthew Tagliavia, PHARM D
• Barbara J, Tawil, LMSW
• Pearl Teitelbaum-Feder, L.C.S.W.
• Marie Thompson, RN

• Clinical Social Worker in Belle Harbor, NY
• Providers in Belle Harbor, 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 Jan 4, 2021; 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.