Active NPI
Audrey Larosa Henry, LMSW
- Clinic/Center
- Bronx, NY
National Provider Identifier
1316734502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 086613
- Practice address
- 799 E Gun Hill Rd FL 1
Bronx, NY 10467-6107 - Phone
- (718) 471-0200
- Fax
- (929) 535-7576
- NPI assigned
- Apr 22, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 086613 | NY | Primary |
Addresses
Primary practice location
799 E Gun Hill Rd FL 1
Bronx, NY 10467-6107
Mailing address
4323 Colden St Apt 10a
Flushing, NY 11355-5913
Phone (347) 606-6558
Other names 1
- Mrs. Audrey Larosa Bartrum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1316734502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4323 COLDEN ST APT 10A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555913",
"telephone_number": "347-606-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 E GUN HILL RD FL 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104676107",
"telephone_number": "718-471-0200",
"fax_number": "929-535-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "AUDREY",
"middle_name": "LAROSA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "086613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "BARTRUM",
"middle_name": "LAROSA",
"prefix": "MRS.",
"credential": "AUDREY LAROSA WILSON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.