Healthcare Provider Details

I. General information

NPI: 1629388632
Provider Name (Legal Business Name): JESSICA SINGER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2010
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 N BROADWAY ANDRUS CHILDREN'S CENTER
YONKERS NY
10701-1108
US

IV. Provider business mailing address

1156 N BROADWAY ANDRUS CHILDREN'S CENTER
YONKERS NY
10701-1108
US

V. Phone/Fax

Practice location:
  • Phone: 914-965-3700
  • Fax:
Mailing address:
  • Phone: 914-965-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number78696
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: