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

Jonathan Ailsworth

Individual provider Clinical Social Worker · NPI 1124978176

Jonathan Ailsworth is a Clinical Social Worker in Ithaca, New York. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

113 Village Cir Apt C
Ithaca, NY 14850-8595
Phone: (901) 406-8693
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 13998 (TN)

Record details

NPI number1124978176
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address113 Village Cir Apt C, Ithaca, NY 14850-8595

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