Individual provider Active NPI

Miku Terai, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1023450475
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0823421 Issued in NY
Practice address
4010 Dyre Ave
Bronx, NY 10466-2510
Phone
(718) 515-3000
Fax
(718) 515-3097
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0825031 NY
Clinical Social Worker 1041C0700X 0823421 NY Primary

Addresses

Primary practice location

4010 Dyre Ave
Bronx, NY 10466-2510

Mailing address

4010 Dyre Ave
Bronx, NY 10466-2510
Phone (718) 515-3000

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
0825031NYMDSocial Worker
0823421NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1023450475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DYRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662510",
            "telephone_number": "718-515-3000",
            "fax_number": "718-515-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DYRE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662510",
            "telephone_number": "718-515-3000",
            "fax_number": "718-515-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAI",
        "first_name": "MIKU",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0825031",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0823421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.