Individual provider Active NPI

Lama Z. Khouri

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1003354747
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R086359-01 Issued in NY
Practice address
1133 Broadway Ste 815
New York, NY 10010-8064
Phone
(212) 877-3407
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R086359-01 NY Primary

Addresses

Primary practice location

1133 Broadway Ste 815
New York, NY 10010-8064

Mailing address

127 E 30TH St Apt 15D
New York, NY 10016-7381
Phone (212) 877-3407

Other practice location 1

127 E 30th St Apt 15D
New York, NY 10016-7381
Phone (212) 877-3407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R086359-01NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1003354747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 30TH ST APT 15D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167381",
            "telephone_number": "212-877-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY STE 815",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108064",
            "telephone_number": "212-877-3407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 E 30th St Apt 15D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100167381",
            "country_code": "US",
            "telephone_number": "212-877-3407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "LAMA",
        "middle_name": "Z.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-12-22",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R086359-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.