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JENNIFER THIEKE
NPI 1003589573
Social Worker in Northport, NY

Active since July 29, 2021PECOS Enrolled
6 COACH HILL LN, NORTHPORT, NY 11768(631) 402-4124 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Thieke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER THIEKE (NPI 1003589573) is an individual social worker in Northport, New York, licensed in New York (052481-01) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003589573
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER THIEKE
Location Address6 COACH HILL LNNorthport, NY 11768-3308
Mailing Address6 Coach Hill LnNorthport, NY 11768-3308 · (631) 402-4124
Phone(631) 402-4124
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1003589573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 052481-01
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
6 COACH HILL LN, Northport, NY 11768
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Thieke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234641499
PECOS Enrollment IDI20250624001046
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Thieke's NPI number?

The NPI number for Jennifer Thieke is 1003589573. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Jennifer Thieke located?

Jennifer Thieke practices at 6 Coach Hill Ln, Northport, NY 11768. The listed phone number is (631) 402-4124.

What is Jennifer Thieke's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jennifer Thieke enrolled in Medicare?

Yes. Jennifer Thieke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Thieke was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.