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JENNIFER COSTELLO-SIRI
NPI 1053557298
Social Worker - Clinical in Jamaica, NY

Active since December 17, 2008PECOS EnrolledAccepts Medicare Assignment
11515 SUTPHIN BLVD, JAMAICA, NY 11434(187) 656-0097(347) 682-4302 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Costello-siri NPPES

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

JENNIFER COSTELLO-SIRI (NPI 1053557298) is an individual clinical provider in Jamaica, New York, licensed in New York (081170) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053557298
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER COSTELLO-SIRI
Location Address11515 SUTPHIN BLVDJamaica, NY 11434-1020
Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730
Phone(187) 656-0097
Fax(347) 682-4302
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 17, 2008
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1053557298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 081170
Definition
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.
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License 076568-1 (NY)
11515 SUTPHIN BLVD, Jamaica, NY 11434
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Secondary Practice Locations 2

Location 1305 Winthrop DrIthaca, NY 14850-1736 · Phone (646) 318-2807
Location 21048 Beach 20th StFar Rockaway, NY 11691-3900 · Phone (718) 765-6342 · Fax (929) 374-1132

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Costello-siri is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365671393
PECOS Enrollment IDI20170125002339, I20240226001287
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Jennifer Costello-siri reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Street Health Of New York Medical Group PC
5.9 mi
Primary Care
455 SUTTER AVE
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Griffin Myers Medical PC
  • 101 clinicians in this Medicare group
NPI 1780209445 (718) 765-6550
Osh - PA Physicians Group, PC
84 mi
Primary Care
3621 ARAMINGO AVE STE C5
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 196 clinicians in this Medicare group
NPI 1811405533 (215) 444-7472
Prospect Health Access Network, Inc.
93 mi
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1255786729 (610) 626-7070
Senior Care Therapy Of Pennsylvania, P.C.
97 mi
Clinical
815 CHESTER PIKE
Prospect Park, PA 19076
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Senior Care Therapy Of Pennsylvania PC
  • 53 clinicians in this Medicare group
NPI 1003320672 (973) 264-0023
Mental Health Specialty Group PA
426 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 111 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Grow Healthcare Group PA
1,092 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. OSWALDO M. JIMENEZ
Social Worker
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
KELLIE RENE RIVERA LMSW
Social Worker
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 765-6009
CHILD CENTER OF NEW YORK
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
FARAH JEAN PHILIPPE LCSW
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
MS. MARILYN R SEGEL LCSW
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
MRS. KAMILAH ELLIE MATTHEW LCSW
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
MR. DEEPMALYA GHOSH LCSW
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (347) 510-4892
MS. PAULINE E SAINTU B.A.
Student in an Organized Health Care Education/Training Program
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000

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 Costello-siri's NPI number?

The NPI number for Jennifer Costello-siri is 1053557298. It was assigned to this individual provider in the NPPES registry on December 17, 2008.

Where is Jennifer Costello-siri located?

Jennifer Costello-siri practices at 11515 Sutphin Blvd, Jamaica, NY 11434. The listed phone number is (187) 656-0097.

What is Jennifer Costello-siri's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Costello-siri enrolled in Medicare?

Yes. Jennifer Costello-siri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Costello-siri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Costello-siri reassigns Medicare benefits to 6 organizations: Oak Street Health Of New York Medical Group PC (Brooklyn, NY), Osh - PA Physicians Group, PC (Philadelphia, PA), Prospect Health Access Network, Inc. (Drexel Hill, PA), Senior Care Therapy Of Pennsylvania, P.C. (Prospect Park, PA), Mental Health Specialty Group PA (Durham, NC) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Costello-siri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Costello-siri was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.