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

Jenna Ann Weick, LCSW-R

Individual provider Social Worker · NPI 1790084275

Jenna Ann Weick, LCSW-R is a Clinical Social Worker in Bay Shore, New York. Qualified in 2014, 12 years ago. Practices with Mosaic Mind Psychotherapy LCSW PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

21 Maple Ave
Bay Shore, NY 11706-8752
Phone: (631) 213-1975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 081638-1 (NY)
Social Worker Taxonomy 104100000X · Licence 082458 (NY)

Record details

NPI number1790084275
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedMarch 23, 2011
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mosaic Mind Psychotherapy Lcsw Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bay Shore