Individual provider Active NPI

Thea Lorise Ferdinand

  • Social Worker
  • Bronx, NY
National Provider Identifier
1326609140
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
103971 Issued in NY
Practice address
1400 Pelham Pkwy S
Building 1 - Unit 10E
Bronx, NY 10461-5718
Phone
(718) 918-3178
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103971 NY Primary

Addresses

Primary practice location

1400 Pelham Pkwy S
Building 1 - Unit 10E
Bronx, NY 10461-5718

Mailing address

1400 Pelham Pkwy S
Building 1 - Unit 10E
Bronx, NY 10461-5718
Phone (718) 918-3178

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

State licenses

LicenseStateTypeSpecialty
103971NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Expectancy Clinical Services, LCSW, PLLC Current Accepting new patients

Locations

669 Main St
New Rochelle, NY 10801
Phone (646) 481-7725

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1326609140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "BUILDING 1 - UNIT 10E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615718",
            "telephone_number": "718-918-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "BUILDING 1 - UNIT 10E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615718",
            "telephone_number": "718-918-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "THEA",
        "middle_name": "LORISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 2019; 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.