Claire C Abdeldaim

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2202587 Issued in NY

Practice address

2 Bay Club Dr Apt 16D
Bayside, NY 11360-2947

Phone

(347) 262-7196

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Duvalsaint C Claire Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2024.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1215708201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BAY CLUB DR APT E16D",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602957",
            "telephone_number": "347-262-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BAY CLUB DR APT 16D",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602947",
            "telephone_number": "347-262-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELDAIM",
        "first_name": "CLAIRE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "2202587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUVALSAINT",
            "last_name": "CLAIRE",
            "middle_name": "C",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Bayside, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.