Organization Active NPI

Senior Adult Services Corp.

  • Clinical Social Worker
  • Kew Gardens, NY
National Provider Identifier
1073629861
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
039607 Issued in NY
Legal business name
SENIOR ADULT SERVICES CORP.
Practice address
8245 Grenfell St
Kew Gardens, NY 11415-1344
Phone
(212) 983-0331
NPI assigned
Aug 22, 2006
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Jennifer LevinNPI 1396851192
Title
Owner
Phone
(212) 983-0331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 039607 NY Primary

Addresses

Primary practice location

8245 Grenfell St
Kew Gardens, NY 11415-1344

Mailing address

PO Box 658
New York, NY 10185-0658

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1073629861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101850658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 GRENFELL ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151344",
            "telephone_number": "212-983-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR ADULT SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-983-0331"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "039607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.