Active NPI
Charlotte F. St. Juste, LCSW
- Clinical Social Worker
- Staten Island, NY
National Provider Identifier
1235151762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084492
- Practice address
- 54 Continental PL
Staten Island, NY 10303-2221 - Phone
- (646) 306-7213
- NPI assigned
- Jul 24, 2006
- Last updated
- Jul 18, 2017
- 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 | 084492 | NY | Primary |
Addresses
Primary practice location
54 Continental PL
Staten Island, NY 10303-2221
Mailing address
54 Continental PL
Staten Island, NY 10303-2221
Phone (646) 306-7213
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178274 | Other | VA | ANTHEM BLUE CROSS BLUE SHIELD |
| 010162033 | Medicaid | VA | |
| 086201M | Other | VA | SENTARA |
| 353677 | Other | VA | MHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084492 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Chapman Senior Care, Inc. | Clinical | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 2
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.
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- Clinical Social Worker
- Richmond, VA
- NPI 1669439691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1235151762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 CONTINENTAL PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103032221",
"telephone_number": "646-306-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 CONTINENTAL PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103032221",
"telephone_number": "646-306-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. JUSTE",
"first_name": "CHARLOTTE",
"middle_name": "F.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "178274",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010162033",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "086201M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "353677",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- St Moses Inc. (Seaview Pharmacy at Forest)
- Kleedy St Surin, PA
- St Vincents Medical Center Staten Island (Medical Associates St Vincents - Richmond)
- St. George Community Counseling Services
- Linda Ann St. John, LCSW
- St. Vincent's Services
- St. Vincent's Staten Island Surgery Services
- St.Vincent's Hospital Westchester
- St.Vincent's Med Ctr Richmond
- Christina Stabile, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.