Janise Lydia Kangombe, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0970891 Issued in NY

Practice address

11416 103Rd Ave
Apt2
South Richmond Hill, NY 11419-1828

Phone

(646) 657-6978

NPI assigned

Apr 12, 2017

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Janise L Germosen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1336673714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BEACH 26TH ST APT 613",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912237",
            "telephone_number": "347-576-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 103RD AVE",
            "address_2": "APT2",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191828",
            "telephone_number": "646-657-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGOMBE",
        "first_name": "JANISE",
        "middle_name": "LYDIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0970891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANISE",
            "last_name": "GERMOSEN",
            "middle_name": "L",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simranpreet Kainth, MD
• Jonathan Bruce Kameros, D.D.S.
• Kamilla Ismailoff, MD, PC
• George Alex Kandel, O.D.
• Nikki Kang
• Siddiq Tariq Karim, D.D.S
• Kaur NP Family Health PC
• Kaur Therapy Solutions, Inc
• Bhupinder Kaur, FNP, PMHNP
• Darshvir Kaur, RPA-C

• Social Worker in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.