Active NPI
Katherine Jessenia Pintado
- Social Worker
- Flushing, NY
National Provider Identifier
1013481936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112476
- Practice address
- 14015 Sanford Ave Ste B
Flushing, NY 11355-2688 - Phone
- (718) 358-8288
- Fax
- (718) 358-5265
- NPI assigned
- Jan 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 112476 | NY | Primary |
Addresses
Primary practice location
14015 Sanford Ave Ste B
Flushing, NY 11355-2688
Mailing address
14015 Sanford Ave Ste B
Flushing, NY 11355-2688
Phone (718) 358-8288
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112476 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1013481936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14015 SANFORD AVE STE B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552688",
"telephone_number": "718-358-8288",
"fax_number": "718-358-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015 SANFORD AVE STE B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552688",
"telephone_number": "718-358-8288",
"fax_number": "718-358-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINTADO",
"first_name": "KATHERINE",
"middle_name": "JESSENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2021-05-24",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "112476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.