Organization Active NPI

Sisters of the Good Shepherd

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1194185363
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SISTERS OF THE GOOD SHEPHERD
Practice address
25-30 21 Avenue
Astoria, NY 11105
Phone
(718) 278-1155
NPI assigned
Mar 2, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Rosalyn Menard
Title
Acting Province Leader
Phone
(718) 278-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

25-30 21 Avenue
Astoria, NY 11105

Mailing address

25-30 21 Avenue
Astoria, NY 11105
Phone (718) 278-1155

National Provider Directory

National Provider Directory

Locations

2530 21st Ave
Astoria, NY 11105
Phone (718) 278-1155

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1194185363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25-30 21 AVENUE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-278-1155",
            "fax_number": "718-278-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25-30 21 AVENUE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-278-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF THE GOOD SHEPHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "ACTING PROVINCE LEADER",
        "authorized_official_telephone_number": "718-278-1155"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.