Individual provider Active NPI

Luis Esquilin Jr., LMSW, MSSW, BS, BLS

  • Social Worker
  • Far Rockaway, NY
National Provider Identifier
1184467151
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
073458-1 Issued in NY
Practice address
1526 New Haven Ave
Far Rockaway, NY 11691-5148
Phone
(929) 535-7575
Fax
(929) 535-7576
NPI assigned
Jun 17, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 073458-1 NY Primary

Addresses

Primary practice location

1526 New Haven Ave
Far Rockaway, NY 11691-5148

Mailing address

768 Brady Ave Apt 143
Bronx, NY 10462-2770
Phone (347) 661-9804

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
073458-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1184467151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 BRADY AVE APT 143",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622770",
            "telephone_number": "347-661-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 NEW HAVEN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915148",
            "telephone_number": "929-535-7575",
            "fax_number": "929-535-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUILIN",
        "first_name": "LUIS",
        "name_suffix": "Jr.",
        "credential": "LMSW, MSSW, BS, BLS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073458-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.