Active NPI
Heather Anne Kangur
- Social Worker
- Jamaica, NY
National Provider Identifier
1093094435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 076928-1
- Practice address
- 17810 Wexford Ter
Jamaica, NY 11432-3050 - Phone
- (718) 658-1123
- NPI assigned
- Aug 16, 2011
- 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 | 076928-1 | NY | Primary |
Addresses
Primary practice location
17810 Wexford Ter
Jamaica, NY 11432-3050
Mailing address
17810 Wexford Terrace #1F
Jamaica, NY 11432
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 |
|---|---|---|---|
| 076928-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Center for Psychotherapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1588051072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1093094435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17810 WEXFORD TERRACE #1F",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17810 WEXFORD TER",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323050",
"telephone_number": "718-658-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANGUR",
"first_name": "HEATHER",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "076928-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.