Active NPI
Tunisha Eaddy, LMSW
- Clinical Social Worker
- Jamaica, NY
National Provider Identifier
1225730211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119268
- Practice address
- 9037 Parsons Blvd
Jamaica, NY 11432-6032 - Phone
- (718) 553-3809
- Fax
- (718) 553-3851
- NPI assigned
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 119268 | NY | Primary |
Addresses
Primary practice location
9037 Parsons Blvd
Jamaica, NY 11432-6032
Mailing address
9037 Parsons Blvd
Jamaica, NY 11432-6032
Phone (718) 553-3809
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119268 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1225730211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9037 PARSONS BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114326032",
"telephone_number": "718-553-3809",
"fax_number": "718-553-3851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9037 PARSONS BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114326032",
"telephone_number": "718-553-3809",
"fax_number": "718-553-3851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADDY",
"first_name": "TUNISHA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "119268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.