Active NPI
Nadira Amaurat Persaud, LCSW, LMSW
- Clinical Social Worker
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 100780
- Practice address
- 22219 Linden Blvd
Jamaica, NY 11411-1605 - Phone
- (718) 765-6055
- Fax
- (347) 808-4948
- NPI assigned
- Sep 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 100780 | NY | Primary |
| Social Worker | 104100000X | 113356 | NY |
Addresses
Primary practice location
22219 Linden Blvd
Jamaica, NY 11411-1605
Mailing address
PO Box 746087
Atlanta, GA 30374-6087
Phone (718) 765-6055
Other practice location 1
16110 Jamaica Ave
Jamaica, NY 11432-6139
Phone (718) 674-1000
Other practice location 2
8914 Parsons Blvd
Jamaica, NY 11432-3576
Phone (718) 765-6358
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22219 Linden Blvd
Jamaica, NY 11411-1605
Phone (718) 765-6055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113356 | NY | MD | Social Worker |
| 100780 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Myers Medical, P.C. | Clinical | Current | Accepting new patients |
Locations
455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550
22219 Linden Blvd
Jamaica, NY 11411
Phone (718) 765-6055
11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1295457455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746087",
"telephone_number": "718-765-6055",
"fax_number": "347-808-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22219 LINDEN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114111605",
"telephone_number": "718-765-6055",
"fax_number": "347-808-4948"
}
],
"practiceLocations": [
{
"address_1": "16110 Jamaica Ave",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114326139",
"country_code": "US",
"telephone_number": "718-674-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8914 Parsons Blvd",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114323576",
"country_code": "US",
"telephone_number": "718-765-6358",
"fax_number": "347-523-8141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMAURAT PERSAUD",
"first_name": "NADIRA",
"credential": "LCSW, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "100780",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "113356",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.