Individual provider Active NPI

Thomas Elias Christou, LCSW

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1295886141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R051150-1 Issued in NY
Practice address
31-28 41 Street
Astoria, NY 11102
Phone
(917) 751-9232
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R051150-1 NY Primary

Addresses

Primary practice location

31-28 41 Street
Astoria, NY 11102

Mailing address

1925 23Rd Ter
Astoria, NY 11105-3725
Phone (718) 626-5252

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
I20110103000802 NY Practitioner - Clinical Social Worker 3072701226 Practice locations: Astoria, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3063 38TH St
B1
Astoria, NY 11103-4172
Phone (917) 751-9232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R051150-1NYMDClinical Social Worker
051150NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychodynamic Solutions Clinical CurrentSince Oct 8, 2023 Accepting new patients

Locations

3801 23rd Ave
Ste 306
Astoria, NY 11105
Phone (516) 725-5551

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295886141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 23RD TER",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053725",
            "telephone_number": "718-626-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-28 41 STREET",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11102",
            "telephone_number": "917-751-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOU",
        "first_name": "THOMAS",
        "middle_name": "ELIAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R051150-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.