Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSE FARR-BAENZIGER LMSW
NPI 1477150019
Social Worker - Clinical in Long Island City, NY

Q: What is Jesse Farr-baenziger's NPI number?

The NPI number for Jesse Farr-baenziger is 1477150019. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Q: What is Jesse Farr-baenziger's specialty?

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

Active since October 07, 2020

2101 41ST AVE, LONG ISLAND CITY, NY 11101(718) 361-6266 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, May 3, 2023, Apr 13, 2023 and 1 more (4 updates tracked since 2020).

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About Jesse Farr-baenziger Lmsw NPPES

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

JESSE FARR-BAENZIGER LMSW (NPI 1477150019) is an individual clinical provider in Long Island City, New York, licensed in New York (104061) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1477150019

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSE FARR-BAENZIGERCredential: LMSW

Location Address2101 41ST AVELong Island City, NY 11101-4801

Mailing Address2101 41st AveLong Island City, NY 11101-4801 · (718) 361-6266

Phone(718) 361-6266

Sole ProprietorNo

Enumeration DateOctober 7, 2020

Last NPPES UpdateSeptember 1, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1477150019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 104061

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 ListedCounselorTaxonomy 101Y00000X · License TEMP (OR)

Also ListedSocial WorkerTaxonomy 104100000X · License 117571 (NY)

2101 41ST AVE, Long Island City, NY 11101

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Other Providers at the Same Location NPPES 16

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

MS. HALLIE FELYSE CHERTOK NPF

Nurse Practitioner (Family)