Individual provider Active NPI

Audrey Larosa Henry, LMSW

  • Clinic/Center
  • Bronx, NY
National Provider Identifier
1316734502
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
086613 Issued in NY
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

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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.

Verify at the official NPI Registry.