Active NPI
Michiko Yamaguchi, L.C.S.W.
- Clinical Social Worker
- New York, NY
National Provider Identifier
1194971226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072432-1
- Practice address
- 555 Main St
Apt.#1501
New York, NY 10044-0129 - Phone
- (917) 309-1901
- Fax
- (212) 751-2702
- NPI assigned
- Aug 8, 2008
- Last updated
- Jan 25, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 072432-1 | NY | Primary |
Addresses
Primary practice location
555 Main St
Apt.#1501
New York, NY 10044-0129
Mailing address
555 Main St
Apt.#1501
New York, NY 10044-0129
Phone (917) 309-1901
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072432-1 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Psychotherapy LCSW Services P.C. | Clinical | Current | Accepting new patients |
Locations
9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone 718459122518
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Rego Park, NY
- NPI 1366806705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1194971226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 MAIN ST",
"address_2": "APT.#1501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440129",
"telephone_number": "917-309-1901",
"fax_number": "212-751-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MAIN ST",
"address_2": "APT.#1501",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440129",
"telephone_number": "917-309-1901",
"fax_number": "212-751-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAGUCHI",
"first_name": "MICHIKO",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072432-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.