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JERISEL JIMENEZ LCSW
NPI 1053958652
Social Worker - Clinical in New York, NY

Active since December 03, 2019
291 BROADWAY RM 1002, NEW YORK, NY 10007(646) 300-5952 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Jul 24, 2024, Aug 16, 2023 and 1 more (4 updates tracked since 2019).

About Jerisel Jimenez Lcsw NPPES

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

JERISEL JIMENEZ LCSW (NPI 1053958652) is an individual clinical provider in New York, New York, licensed in New York (095123) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1053958652
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJERISEL JIMENEZCredential: LCSW
Location Address291 BROADWAY RM 1002New York, NY 10007-1883
Mailing Address291 BroadwayNew York, NY 10007-1814 · (646) 300-5952
Phone(646) 300-5952
Sole ProprietorYes
Enumeration DateDecember 3, 2019
Last NPPES UpdateApril 2, 20264 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1053958652 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 · 095123
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 ListedSocial WorkerTaxonomy 104100000X · License 107620 (NY)
291 BROADWAY RM 1002, New York, NY 10007
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Other Providers at the Same Location NPPES 8

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

RACHEL HONOROFF
Social Worker
291 BROADWAY RM 1002
NEW YORK, NY 10007
New York County (917) 873-1022
ANDREW POPADICS MHC-I
Counselor (Mental Health)
291 BROADWAY RM 1002
NEW YORK, NY 10007
New York County (917) 873-1022
DIANE R GALLIGAN
Social Worker
291 BROADWAY RM 1002
NEW YORK, NY 10007
New York County (917) 873-1022
DIANA CANNIZZARO
Counselor (Mental Health)
291 BROADWAY RM 1002
NEW YORK, NY 10007
New York County (917) 873-1022
JAY BRANDON WILSON WHITE MHC-I
Counselor (Mental Health)
291 BROADWAY RM 1002
NEW YORK, NY 10007
New York County (917) 873-1022
TIMOTHY STURROCK
Counselor (Mental Health)
291 BROADWAY RM 1002
NEW YORK, NY 10007
New York County (917) 873-1022
MS. MARISOL URRUTIA LMSW
Social Worker (Clinical)
291 BROADWAY RM 1002
NEW YORK, NY 10007
New York County (917) 873-1022
GROUNDED SPIRIT PSYCHOLOGY PLLC
Clinic/Center (Adult Mental Health)
291 BROADWAY RM 1002
NEW YORK, NY 10007
New York County (914) 256-2899

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 Jerisel Jimenez's NPI number?

The NPI number for Jerisel Jimenez is 1053958652. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Jerisel Jimenez located?

Jerisel Jimenez practices at 291 Broadway Rm 1002, New York, NY 10007. The listed phone number is (646) 300-5952.

What is Jerisel Jimenez's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerisel Jimenez was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.