Individual provider Active NPI

Michaela Turnbull, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1003466889
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102463-01 Issued in NY
Practice address
210 Central Park S
New York, NY 10019-1428
Phone
(646) 414-1446
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 102463-01 NY Primary

Addresses

Primary practice location

210 Central Park S
New York, NY 10019-1428

Mailing address

3814 Astoria Blvd Apt 3
Astoria, NY 11103-3632
Phone (617) 721-2518

Other identifiers 1

IdentifierTypeStateIssuer
102463-01OtherNYLIMITED PERMIT - ISSUED BY NY OFFICE OF THE PROFESSIONS

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
102463-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1003466889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 ASTORIA BLVD APT 3",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033632",
            "telephone_number": "617-721-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CENTRAL PARK S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191428",
            "telephone_number": "646-414-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBULL",
        "first_name": "MICHAELA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102463-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED PERMIT - ISSUED BY NY OFFICE OF THE PROFESSIONS",
            "identifier": "102463-01",
            "state": "NY"
        }
    ],
    "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 Sep 13, 2019; 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.