Active NPI
Bernadine Mathieu
- Social Worker
- Jackson Heights, NY
National Provider Identifier
1023468675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 097171-1
- Practice address
- 7410 35TH Ave Apt 107W
Jackson Heights, NY 11372-8105 - Phone
- (718) 672-1538
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 097171-1 | NY | Primary |
Addresses
Primary practice location
7410 35TH Ave Apt 107W
Jackson Heights, NY 11372-8105
Mailing address
21242 94TH Ave
Apt 1
Queens Village, NY 11428-1637
Phone (516) 808-7258
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 |
|---|---|---|---|
| 097171-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1023468675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21242 94TH AVE",
"address_2": "APT 1",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114281637",
"telephone_number": "516-808-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 35TH AVE APT 107W",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113728105",
"telephone_number": "718-672-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIEU",
"first_name": "BERNADINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "097171-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.