Individual provider Active NPI

Chloe Michaelson

  • Social Worker
  • Forest Hills, NY
National Provider Identifier
1154770220
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097731 Issued in NY
Practice address
6838 Yellowstone Blvd
Apartment B67
Forest Hills, NY 11375-3417
Phone
(516) 521-1249
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097731 NY Primary

Addresses

Primary practice location

6838 Yellowstone Blvd
Apartment B67
Forest Hills, NY 11375-3417

Mailing address

6838 Yellowstone Blvd
Apartment B67
Forest Hills, NY 11375-3417
Phone (516) 521-1249

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
097731NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1154770220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 YELLOWSTONE BLVD",
            "address_2": "APARTMENT B67",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753417",
            "telephone_number": "516-521-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 YELLOWSTONE BLVD",
            "address_2": "APARTMENT B67",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753417",
            "telephone_number": "516-521-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "CHLOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.