Active NPI
Sadiqa Amina Wahhaj, LMSW
- Social Worker
- Woodside, NY
National Provider Identifier
1104485119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104602
- Practice address
- 4277 65TH PL
Woodside, NY 11377-5054 - Phone
- (718) 429-2000
- NPI assigned
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 104602 | NY | Primary |
Addresses
Primary practice location
4277 65TH PL
Woodside, NY 11377-5054
Mailing address
293 Martense St Apt 1a
Brooklyn, NY 11226-4267
Phone (347) 683-3271
Other practice location 1
293 Martense St Apt 1A
Brooklyn, NY 11226-4267
Phone (929) 434-7145
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swahhaj@fordham.edu | Direct |
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 |
|---|---|---|---|
| 104602 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1104485119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 MARTENSE ST APT 1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112264267",
"telephone_number": "347-683-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4277 65TH PL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775054",
"telephone_number": "718-429-2000"
}
],
"practiceLocations": [
{
"address_1": "293 Martense St Apt 1A",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112264267",
"country_code": "US",
"telephone_number": "929-434-7145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAHHAJ",
"first_name": "SADIQA",
"middle_name": "AMINA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104602",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swahhaj@fordham.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct messaging",
"address_1": "293 Martense St Apt 1A",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112264267",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.