MS. JESSICA ANN KNOLL (NPI# 1679729206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679729206 |
| Entity Type | Individual |
| Full Name | MS. JESSICA ANN KNOLL |
| Credential | LCSW |
| Practice Address |
164 W 74th St 3rd Floor New York NY 10023-2301 |
| Practice Telephone | 6465052089 |
| Mailing Telephone | 6465052000 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2014-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CASAC-23901 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
079377-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704172 | Jessica Knoll | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2018-09-15 |
| 1225318140 | Jessica M Knoll | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-08-23 |
| Street Address |
164 W 74TH ST 3RD FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134297153 | Phoenix Houses of New York, Inc. | Substance Abuse Rehabilitation Facility | 164 W 74th St, New York, NY 10023-2301 | 2006-11-30 |
| 1700291523 | Emily Miranda Patulski | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2014-07-01 |
| 1013255769 | Phoenix House Foundation | Clinic/Center | 164 W 74th St, New York, NY 10023-2301 | 2013-01-30 |
| 1972837763 | Ashley Baglieri | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2009-09-25 |
| 1023261328 | Tessa A Vining | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2008-10-30 |
| 1952502486 | Mitchell S. Rosenthal | Psychiatry & Neurology | 164 W 74th St, New York, NY 10023-2301 | 2007-05-31 |
| 1629139654 | Christopher Stephens Randolph | Internal Medicine | 164 W 74th St, New York, NY 10023-2301 | 2006-12-13 |
| 1245391911 | Bette B Lyons | Registered Nurse | 164 W 74th St, New York, NY 10023-2301 | 2006-12-13 |
| 1275694507 | Barbara S. Goldberg | Registered Nurse | 164 W 74th St, New York, NY 10023-2301 | 2006-12-12 |
| 1639247653 | Phoenix House Foundation, Inc. | Clinic/Center | 164 W 74th St, New York, NY 10023-2301 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353215 | Marian Lisa Stern | Psychologist | 6 West 74th Street, Ny, NY 10023 | 2020-07-16 |
| 1720605652 | Elizabeth Bentley | Social Worker | Institute of Contemporary Psychotherapy, 33 W 60th St. 4th Floor New York, New York, NY 10023 | 2020-06-26 |
| 1164058236 | Dawn Fitzgerald | Registered Nurse | 315 West 70th Street, Suite 1b, New York, NY 10023 | 2020-03-20 |
| 1841849817 | David Charles Tannenbaum | Social Worker | 10 West 74th 1b, Nyc, NY 10023 | 2019-09-11 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| 1043875198 | Linda M Stolarz | Social Worker | 140 W 71st, Apt 3 E, New York, NY 10023 | 2019-05-03 |
| 1336609825 | Laurie Faye Schwartz | Counselor | 20 W 64 St, Apt 21a, New York, NY 10023 | 2019-03-21 |
| 1891252706 | Marcia Hochman | Social Worker | The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 | 2019-02-27 |
| 1629545843 | Roni-sue Allen | Marriage & Family Therapist | 1841 Broadway Suite 325, New York, NY 10023 | 2018-10-25 |
| 1346757291 | Jang Sook Min | Acupuncturist | 134 W 72nd St, New York, NY 10023 | 2018-01-01 |
| Find all providers in zip 10023 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1316546807 | Nicole D'angelo | Social Worker | 511 E 81st St Apt 11, New York, NY 10028-2512 | 2020-10-26 |
| 1730788993 | Nancy Bacher | Social Worker | 1770 Madison Ave, New York, NY 10035-4787 | 2020-10-20 |
| 1346849676 | Marlene St. Vil Darbouze | Social Worker | 156 W 119th St Apt 1, New York, NY 10026-1354 | 2020-10-19 |
| 1720686702 | Elizabeth Orent | Social Worker | 310 E 23rd St Apt 6c, New York, NY 10010-4703 | 2020-10-13 |
| 1548868607 | Prescott Psychotherapy Wellness Lcsw Pllc | Social Worker | 285 Lexington Ave Fl 2a, New York, NY 10016-3592 | 2020-10-12 |
| 1003413410 | Caprice Royal, Lcsw P.l.l.c | Social Worker | 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 | 2020-10-08 |
| 1669079364 | Nina Michelle Libson | Social Worker | 405 E 14th St Apt 6e, New York, NY 10009-2703 | 2020-10-06 |
| 1588279954 | Robert Mladinich | Social Worker | 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 | 2020-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.