Individual provider · Type 1 NPI

Jerisel Jimenez, LCSW

Clinical Social Worker · New York, NY

NPI number 1053958652 Active

Practice location

291 Broadway Rm 1002
New York, NY 10007-1883

Mailing address

291 Broadway
New York, NY 10007-1814

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X095123 (NY)
Social Worker 104100000X107620 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1053958652

Jerisel Jimenez, LCSW's National Provider Identifier is 1053958652, issued on Dec 3, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Apr 2, 2026.