Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jane C Bardavid, LCSW

Individual provider Clinical Social Worker · NPI 1558399642

Jane C Bardavid, LCSW is a Clinical Social Worker in Great Neck, New York. Qualified in 1972, 54 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
54
Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1 Barstow Rd Ste P24
Great Neck, NY 11021-3501
Phone: (516) 978-8629
Fax: (212) 362-3908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R013203-1 (NY)

Record details

NPI number1558399642
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESApril 20, 2016
Mailing address101 W End Ave, Apt 30e, New York, NY 10023-6379

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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