Individual provider Active NPI

Nadira Amaurat Persaud, LCSW, LMSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1295457455
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100780 Issued in NY
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

Updated by the provider on Nov 7, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119004863 NY Practitioner - Clinical Social Worker 8022500875 Reassigns benefits to 1 organization

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
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians

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

LicenseStateTypeSpecialty
113356NYMDSocial Worker
100780NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Myers Medical, P.C. Clinical CurrentSince Jan 5, 2026 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

Verify at the official NPI Registry.