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MR. JAKE SEAN DANN-SOURY
NPI 1346798717
Social Worker - School in Bronx, NY

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment
3600 JEROME AVE, BRONX, NY 10467(718) 881-3600 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Sep 14, 2016 (2 updates tracked since 2016).

About Mr. Jake Sean Dann-soury NPPES

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

MR. JAKE SEAN DANN-SOURY (NPI 1346798717) is an individual school provider in Bronx, New York, licensed in New York (092194) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346798717
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameMR. JAKE SEAN DANN-SOURY
Location Address3600 JEROME AVEBronx, NY 10467-1052
Mailing Address3600 Jerome AveBronx, NY 10467-1052
Phone(718) 881-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 14, 2016
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1346798717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NY · 092194
3600 JEROME AVE, Bronx, NY 10467
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

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

Mr. Jake Sean Dann-soury 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 ID3971984659
PECOS Enrollment IDI20220713002044
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 Reassignment

Medicare enrollment records show Jake Dann-soury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Families And Individuals In Recovery
4.6 mi
Addiction (Substance Use Disorder)
1090 SAINT NICHOLAS AVE, UPPER LEVEL
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 70 clinicians in this Medicare group
NPI 1841354370 (212) 543-4449

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

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.

ILENA QUINONES B.A.
Rehabilitation Counselor
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MS. ANNETTE DE LA CRUZ
Community Health Worker
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
SHAMMARA AUSBY
Counselor
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MRS. JACQUELINE REGINA WILLIAMS LCSW
Social Worker (Clinical)
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
JORGE SANTIAGO LMSW
Social Worker
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MRS. RACHEL JUNGREIS
Social Worker
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MR. MICHAEL WILLIAM CAVALLARO L.C.S.W.
Social Worker (Clinical)
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600
MS. DONNA MARIE REID REHAB TECH.
Community Health Worker
3600 JEROME AVE
BRONX, NY 10467
Bronx County (718) 881-7600

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 Jake Dann-soury's NPI number?

The NPI number for Jake Dann-soury is 1346798717. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Jake Dann-soury located?

Jake Dann-soury practices at 3600 Jerome Ave, Bronx, NY 10467. The listed phone number is (718) 881-3600.

What is Jake Dann-soury's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Is Jake Dann-soury enrolled in Medicare?

Yes. Jake Dann-soury 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 organization bills Medicare for Jake Dann-soury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Dann-soury reassigns Medicare benefits to Families And Individuals In Recovery (New York, NY). The 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 Jake Dann-soury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Dann-soury accept?

Health plans from Oscar Health and UnitedHealthcare list Jake Dann-soury as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jake Dann-soury was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.