Active NPI
Berenice S. La Motta, LSW
- Social Worker
- Flushing, NY
National Provider Identifier
1235344508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05335400
- Practice address
- 142-10 Sanford Avenue
Annex 1
Flushing, NY 11355 - Phone
- (718) 463-4613
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05335400 | NJ | Primary |
Addresses
Primary practice location
142-10 Sanford Avenue
Annex 1
Flushing, NY 11355
Mailing address
78 Evergreen Ave
Bloomfield, NJ 07003-2339
Phone (973) 429-9440
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 |
|---|---|---|---|
| 44SL05335400 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235344508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 EVERGREEN AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032339",
"telephone_number": "973-429-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142-10 SANFORD AVENUE",
"address_2": "ANNEX 1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-463-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA MOTTA",
"first_name": "BERENICE",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05335400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.