Individual provider Active NPI

Blanche M Centeno-Hatwood, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1285891200
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088880-01 Issued in NY
Practice address
738 Crown St
Brooklyn, NY 11213-5442
Phone
(718) 363-0100
Fax
(178) 363-3005
NPI assigned
May 19, 2008
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 072363-1 NY
Clinical Social Worker 1041C0700X 088880-01 NY Primary

Addresses

Primary practice location

738 Crown St
Brooklyn, NY 11213-5442

Mailing address

738 Crown St
Brooklyn, NY 11213-5442
Phone (718) 363-0100

Other practice location 1

14565 225th St
Rosedale, NY 11413-3521
Phone (646) 594-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20160830000199 NY Practitioner - Clinical Social Worker 4880989813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072363-1NYMDClinical Social Worker
088880-01NYMDClinical Social Worker
072363NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Nov 3, 2019 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1285891200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135442",
            "telephone_number": "718-363-0100",
            "fax_number": "178-363-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135442",
            "telephone_number": "718-363-0100",
            "fax_number": "178-363-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14565 225th St",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "NY",
            "postal_code": "114133521",
            "country_code": "US",
            "telephone_number": "646-594-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTENO-HATWOOD",
        "first_name": "BLANCHE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072363-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088880-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.