JENNIFER COSTELLO-SIRI – Clinical Social Worker, NPI 1053557298
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,009 CLINICAL SOCIAL WORKER in NY
Provider Addresses for JENNIFER COSTELLO-SIRI
PO BOX 746087
ATLANTA, GA 303746087
Phone: (312) 733-9730
Type: Mailing
11515 SUTPHIN BLVD
JAMAICA, NY 114341020
Phone: (187) 656-0097
Fax: (347) 682-4302
Type: Location
305 Winthrop Dr
Ithaca, NY 148501736
Phone: (646) 318-2807
Type: Location
1048 Beach 20th St
Far Rockaway, NY 116913900
Phone: (718) 765-6342
Fax: (929) 374-1132
Type: Location
305, Winthrop Drive, Village of Cayuga Heights, Town of Ithaca, Tompkins County, New York, 14850, United States
ITHACA, NY 148501736
Phone: (646) 318-2807
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170125002339 | I | Clinical Social Worker | PA | TBD |
| I20240226001287 | I | Clinical Social Worker | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 375 | 34 | $0 |
| 90834 | Psychotherapy, 45 minutes | 42 | 11 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NY | |
| Internal Medicine | NY | |
| Family Practice, Osteopathic Manipulative Medicine | NJ | |
| Nurse Practitioner | NY | |
| E N D O C R I N O L O G Y | GA | |
| Family Practice | NY | |
| Family Practice | NY | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | AZ |
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