JILL VAN PELT LCSW PLLC
NPI 1992119283
Social Worker - Clinical in Vestal, NY

Active since June 16, 2014
4513 OLD VESTAL RD, VESTAL, NY 13850(607) 729-7001(607) 729-6434 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jill Van Pelt Lcsw Pllc NPPES

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

JILL VAN PELT LCSW PLLC (NPI 1992119283) is a healthcare organization registered as a clinical in Vestal, New York and active in the NPI registry since June 2014. The organization lists Jill A Meskunas-van Pelt, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1992119283
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJILL VAN PELT LCSW PLLC
Location Address4513 OLD VESTAL RDVestal, NY 13850-3571
Mailing Address29 Downs AveBinghamton, NY 13905-1822 · (607) 595-9120
Fax(607) 729-6434
Organization SubpartNo
Authorized OfficialJill A Meskunas-van PeltClinical Social Worker · (607) 595-9120
Enumeration DateJune 16, 2014
✔ NPI 1992119283 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 · R069978
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.
4513 OLD VESTAL RD, Vestal, NY 13850

Other Identifiers 3

Medicare PINRA2363
Medicaid03115804NY
Medicare UPINQ18951NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Van Pelt Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jill Van Pelt Lcsw PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1740225671
229-231 STATE ST
Binghamton, NY 13901
(607) 778-1152
✔ PECOS✔ Accepts Medicare2.5 mi

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

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 Jill Van Pelt Lcsw PLLC's NPI number?

The NPI number for Jill Van Pelt Lcsw PLLC is 1992119283. It was assigned to this organization in the NPPES registry on June 16, 2014.

Where is Jill Van Pelt Lcsw PLLC located?

Jill Van Pelt Lcsw PLLC is located at 4513 Old Vestal Rd, Vestal, NY 13850. The listed phone number is (607) 729-7001.

What is Jill Van Pelt Lcsw PLLC's specialty?

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

Is Jill Van Pelt Lcsw PLLC enrolled in Medicare?

Yes. Jill Van Pelt Lcsw PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jill Van Pelt Lcsw PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jill Van Pelt Lcsw PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jill Van Pelt Lcsw PLLC was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.