Individual provider Active NPI

Qingquan Yang

  • Social Worker
  • New York, NY
National Provider Identifier
1073166575
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
535 Clinton Ave
New York, NY 11238
Phone
(929) 270-9780
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 Primary

Addresses

Primary practice location

535 Clinton Ave
New York, NY 11238

Mailing address

535 Clinton Ave
Brooklyn, NY 11238-2201
Phone (929) 270-9780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112003178 NY Practitioner - Clinical Social Worker 2860926953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094578NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Point Psychotherapy LCSW, PLLC Current Accepting new patients
Community Counseling and Mediation CurrentSince Oct 1, 2024 Accepting new patients

Locations

25 Elm Pl
Fl 2
Brooklyn, NY 11201
Phone (718) 802-0666

1 Hoyt St
Fl 7
Brooklyn, NY 11201
Phone (718) 578-9813

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1073166575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CLINTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382201",
            "telephone_number": "929-270-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CLINTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "929-270-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "QINGQUAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.