Individual provider Active NPI

Juwayriah Hassan, L.C.S.W,

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1144525106
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO19289-1 Issued in NY
Practice address
47 Cambridge Place Suite 1R
Brooklyn, NY 11238-1907
Phone
(718) 622-4192
Fax
(718) 622-4192
NPI assigned
Jan 21, 2011
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PRO19289-1 NY Primary

Addresses

Primary practice location

47 Cambridge Place Suite 1R
Brooklyn, NY 11238-1907

Mailing address

47 Cambridge Place Suite 1R
Brooklyn, NY 11238-1907
Phone (718) 622-4192

Other names 1

  • Ms. Janice Hassan Former name

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

LicenseStateTypeSpecialty
PRO19289-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1144525106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAMBRIDGE PLACE SUITE 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381907",
            "telephone_number": "718-622-4192",
            "fax_number": "718-622-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CAMBRIDGE PLACE SUITE 1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381907",
            "telephone_number": "718-622-4192",
            "fax_number": "718-622-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "JUWAYRIAH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO19289-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "HASSAN",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 21, 2011; 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.