Active NPI
Christine Salazar, LCSW
- Clinical Social Worker
- Corona, NY
National Provider Identifier
1255548095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085354
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136167177 | Other | NY | FIDELIS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Child Center of Ny, Inc. | Current | Accepting new patients | |
| Puerto Rican Family Institute, Inc. | Past | Accepting new patients | |
| Puerto Rican Family Institute | Past | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Forest Hills, NY
- NPI 1649329806
-
- Case Management Agency
- New York, NY
- NPI 1588873327
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1285800508
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.