Active NPI
Nicole Range
- Social Worker
- Brooklyn, NY
National Provider Identifier
1144686510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091670
- Practice address
- 14 Auburn PL
2D
Brooklyn, NY 11205-1951 - Phone
- (347) 232-4185
- Fax
- (347) 402-3069
- NPI assigned
- Jan 14, 2016
- 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 | 091670 | NY | Primary |
Addresses
Primary practice location
14 Auburn PL
2D
Brooklyn, NY 11205-1951
Mailing address
14 Auburn PL
2D
Brooklyn, NY 11205-1951
Phone (347) 232-4185
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 |
|---|---|---|---|
| 091670 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1144686510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 AUBURN PL",
"address_2": "2D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051951",
"telephone_number": "347-232-4185",
"fax_number": "347-402-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 AUBURN PL",
"address_2": "2D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051951",
"telephone_number": "347-232-4185",
"fax_number": "347-402-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGE",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091670",
"primary": true
}
],
"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 Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.