Doctor profile · Federal record

Dr. Jennifer Costello-Siri

Clinical Social Worker · Early Intervention Provider Agency · Jamaica, NY

  • NPI 1053557298
  • Accepts Medicare
  • 19 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
11515 Sutphin Blvd
Jamaica, NY 114341020
(187) 656-0097
fax (347) 682-4302
Additional location
1048 Beach 20Th St
Far Rockaway, NY 116913900
(718) 765-6342
fax (929) 374-1132
Additional location
305 Winthrop Dr
Ithaca, NY 148501736
(646) 318-2807
Mailing address
Po Box 746087
Atlanta, GA 303746087

Credentials & registration

NPPES · NUCC
NPI registered
December 2008 — 18 yrs on file
Profile last updated
October 25, 2024
Year of graduation
2007 — 19 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State licenses (2)
New York #081170 · New York #076568-1

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053557298. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
417
Distinct HCPCS
2
Medicare allowed
$21,780
HCPCS Description Services Patients Avg allowed
90832 Psychotherapy, 30 minutes 375 34 $51
90834 Psychotherapy, 45 minutes 42 11 $67

In context: peer comparison

Among 4 peers in this city , average services per provider: 149. This provider delivers 2.8× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jennifer Costello-Siri's medical specialty?
Dr. Jennifer Costello-Siri practices Clinical Social Worker in Jamaica, NY.
Where does Dr. Jennifer Costello-Siri practice?
Dr. Jennifer Costello-Siri practices at 11515 Sutphin Blvd, Jamaica, NY 114341020. Office phone: 1876560097.
What is Dr. Jennifer Costello-Siri's NPI?
Dr. Jennifer Costello-Siri's National Provider Identifier (NPI) is 1053557298, issued by NPPES.
Does Dr. Jennifer Costello-Siri accept Medicare assignment?
Yes. Dr. Jennifer Costello-Siri accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jennifer Costello-Siri commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90832); Psychotherapy (HCPCS 90834). Source: CMS Medicare Physician & Other Practitioners file.