JENNIFER MCCORMICK LCSW
NPI 1386028298
Social Worker - Clinical in Johnson City, NY

Q: What is Jennifer Mccormick's NPI number?

The NPI number for Jennifer Mccormick is 1386028298. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Q: What is Jennifer Mccormick's specialty?

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

Q: Is Jennifer Mccormick enrolled in Medicare?

No. Jennifer Mccormick has opted out of Medicare through April 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since July 10, 2015Opted out of Medicare · through Apr 11, 2028

22 HARRISON ST, SUITE 101, JOHNSON CITY, NY 13790(607) 763-8181(607) 763-8186 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Mccormick Lcsw NPPES

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

JENNIFER MCCORMICK LCSW (NPI 1386028298) is an individual clinical provider in Johnson City, New York, licensed in New York (083356) and active in the NPI registry since July 2015. She has opted out of Medicare through April 11, 2028.

NPPES Registry Identity

NPI1386028298

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER MCCORMICKCredential: LCSW

Location Address22 HARRISON ST, SUITE 101Johnson City, NY 13790-2142

Mailing Address22 Harrison St, Suite 101Johnson City, NY 13790-2142 · (607) 763-8181 · Fax (607) 763-8016

Phone(607) 763-8181

Fax(607) 763-8186

Sole ProprietorNo

Enumeration DateJuly 10, 2015

✔ NPI 1386028298 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 · 083356

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.

22 HARRISON ST, Johnson City, NY 13790

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Mccormick Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2024 through April 11, 2028.

Opt-Out Effective DateApril 11, 2024

Opt-Out In Effect ThroughApril 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. SUN H LIAUW MD

Radiology (Radiation Oncology)

22 HARRISON ST
JOHNSON CITY, NY 13790

Broome County (315) 268-9314

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 Mccormick's NPI number?

The NPI number for Jennifer Mccormick is 1386028298. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Where is Jennifer Mccormick located?

Jennifer Mccormick practices at 22 Harrison St Suite 101, Johnson City, NY 13790. The listed phone number is (607) 763-8181.

What is Jennifer Mccormick's specialty?

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

Is Jennifer Mccormick enrolled in Medicare?

No. Jennifer Mccormick has opted out of Medicare through April 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Mccormick was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.