MRS. JENNIFER KANTOR JACKMAN LCSW
NPI 1215225164
Social Worker - Clinical in Jefferson Valley, NY

Active since July 13, 2011PECOS Enrolled
3630 HILL BLVD, SUITE 204A, JEFFERSON VALLEY, NY 10535(914) 302-2858(914) 302-2859 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jennifer Kantor Jackman Lcsw NPPES

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

MRS. JENNIFER KANTOR JACKMAN LCSW (NPI 1215225164) is an individual clinical provider in Jefferson Valley, New York, licensed in New York (075500) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215225164
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JENNIFER KANTOR JACKMANCredential: LCSW
Location Address3630 HILL BLVD, SUITE 204AJefferson Valley, NY 10535-1502
Mailing Address3630 Hill Blvd, Suite 204aJefferson Valley, NY 10535-1502 · (914) 302-2858 · Fax (914) 302-2859
Fax(914) 302-2859
Sole ProprietorYes
Enumeration DateJuly 13, 2011
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
NPI 1215225164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 075500
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.

3630 HILL BLVD, Jefferson Valley, NY 10535

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Jennifer Kantor Jackman Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10535 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 19

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

Podiatrist
3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535
Podiatrist
3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535
Dentist (General Practice)
3630 HILL BLVD, SUITE 306
JEFFERSON VALLEY, NY 10535
Audiologist
3630 HILL BLVD, SUITE 202
JEFFERSON VALLEY, NY 10535
Optometrist
3630 HILL BLVD, SUITE 303
JEFFERSON VALLEY, NY 10535
Podiatrist (Foot Surgery)
3630 HILL BLVD, SUITE 104
JEFFERSON VALLEY, NY 10535
Physician Assistant (Medical)
3630 HILL BLVD, STE 402
JEFFERSON VALLEY, NY 10535
Clinic/Center (Dental)
3630 HILL BLVD, SUITE 401
JEFFERSON VALLEY, NY 10535

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 Jackman's NPI number?

The NPI number for Jennifer Jackman is 1215225164. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Where is Jennifer Jackman located?

Jennifer Jackman practices at 3630 Hill Blvd Suite 204A, Jefferson Valley, NY 10535. The listed phone number is (914) 302-2858.

What is Jennifer Jackman's specialty?

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

Is Jennifer Jackman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Jackman was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.