1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Social Worker
  6. NPI Profile

JENNIFER SOOHOO-TIBALDI
NPI 1972989101
Social Worker - Clinical in New York, NY

Active since August 11, 2015PECOS Enrolled
462 1ST AVE RM 21S38, NEW YORK, NY 10016(212) 562-6035(212) 263-0202 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Soohoo-tibaldi NPPES

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

JENNIFER SOOHOO-TIBALDI (NPI 1972989101) is an individual clinical provider in New York, New York, licensed in New York (069373) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972989101
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER SOOHOO-TIBALDI
Location Address462 1ST AVE RM 21S38New York, NY 10016-9196
Mailing Address63 Jenkins StMerrick, NY 11566-1758 · (212) 562-6035 · Fax (212) 263-0202
Phone(212) 562-6035
Fax(212) 263-0202
Sole ProprietorYes
Enumeration DateAugust 11, 2015
✔ NPI 1972989101 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 · 069373
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.
462 1ST AVE RM 21S38, New York, NY 10016
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Soohoo-tibaldi 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 10016 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 $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Soohoo-tibaldi's NPI number?

The NPI number for Jennifer Soohoo-tibaldi is 1972989101. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Jennifer Soohoo-tibaldi located?

Jennifer Soohoo-tibaldi practices at 462 1st Ave Rm 21s38, New York, NY 10016. The listed phone number is (212) 562-6035.

What is Jennifer Soohoo-tibaldi's specialty?

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

Is Jennifer Soohoo-tibaldi enrolled in Medicare?

Yes. Jennifer Soohoo-tibaldi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Soohoo-tibaldi was last updated on August 11, 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.