Individual provider Active NPI

Christine Salazar, LCSW

  • Clinical Social Worker
  • Corona, NY
National Provider Identifier
1255548095
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085354 Issued in NY
Practice address
10320 Corona Ave
Corona, NY 11368-3179
Phone
(929) 522-0017
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085354 NY Primary
Social Worker 104100000X

Addresses

Primary practice location

10320 Corona Ave
Corona, NY 11368-3179

Mailing address

8345 Vietor Ave Apt 2F
Elmhurst, NY 11373-3233
Phone (646) 427-0677

Other practice location 1

67-14 41 Avenue
The Child Center of NY
Woodside, NY 11377-5501
Phone (718) 458-4243 ext. 213

Other practice location 2

28 Debevoise St Ste 5
Brooklyn, NY 11206-4194
Phone (718) 963-4430 ext. 4470

Other identifiers 1

IdentifierTypeStateIssuer
136167177OtherNYFIDELIS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020000422 NY Practitioner - Clinical Social Worker 9234405127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Child Center of Ny, Inc. CurrentSince Aug 21, 2017 Accepting new patients
Puerto Rican Family Institute, Inc. PastSince Aug 1, 2019 Accepting new patients
Puerto Rican Family Institute PastSince Aug 1, 2019 Accepting new patients

Locations

11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1255548095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 VIETOR AVE APT 2F",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733233",
            "telephone_number": "646-427-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 CORONA AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683179",
            "telephone_number": "929-522-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67-14 41 AVENUE",
            "address_2": "The Child Center of NY",
            "address_purpose": "LOCATION",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775501",
            "country_code": "US",
            "telephone_number": "718-458-4243 x213",
            "fax_number": "718-275-7973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Debevoise St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112064194",
            "country_code": "US",
            "telephone_number": "718-963-4430 x4470",
            "fax_number": "718-963-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085354",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "136167177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

Verify at the official NPI Registry.