Individual provider Active NPI

Gloria Choi, LCSW

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1154716504
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081829 Issued in NY
Practice address
421 27TH Ave
Astoria, NY 11102-4175
Phone
(718) 777-6377
Fax
(718) 728-3207
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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 081829 NY Primary

Addresses

Primary practice location

421 27TH Ave
Astoria, NY 11102-4175

Mailing address

421 27TH Ave
Astoria, NY 11102-4175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150403000018 NY Practitioner - Clinical Social Worker 5092735258 Reassigns benefits to 1 organization
Practice locations: Long Island City, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4121 28TH St
Long Island City, NY 11101-3741
Phone (718) 777-4209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081829NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwill Industries of Greater New York and Northern New Jersey, Inc CurrentSince Mar 9, 2015 Accepting new patients
Gloria Choi Clinical PastSince Oct 14, 2019 Accepting new patients

Locations

25 Elm Pl
Fl 3
Brooklyn, NY 11201

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1154716504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 27TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 27TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024175",
            "telephone_number": "718-777-6377",
            "fax_number": "718-728-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "GLORIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.