Active NPI
Olga Patricia Guzman Pinzon, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1093188682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090285
- Practice address
- 1375 Coney Island Ave Ste 1067
Brooklyn, NY 11230-4166 - Phone
- (914) 362-8357
- NPI assigned
- Nov 4, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090285 | NY | Primary |
| Social Worker | 104100000X | 096017-1 | NY |
Addresses
Primary practice location
1375 Coney Island Ave Ste 1067
Brooklyn, NY 11230-4166
Mailing address
1375 Coney Island Ave Ste 1067
Brooklyn, NY 11230-4166
Phone (914) 362-8357
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 |
|---|---|---|---|
| 096017-1 | NY | MD | Social Worker |
| 090285 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Providers of Western Queens | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Jackson Heights, NY
- NPI 1104200294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1093188682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 CONEY ISLAND AVE STE 1067",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304166",
"telephone_number": "914-362-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 CONEY ISLAND AVE STE 1067",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304166",
"telephone_number": "914-362-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN PINZON",
"first_name": "OLGA",
"middle_name": "PATRICIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090285",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "096017-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.