Active NPI
Helene Chin, LCSW
- Clinical Social Worker
- Hicksville, NY
National Provider Identifier
1356487094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R054401-1
- Practice address
- 19 Marvin Ave
Hicksville, NY 11801-5122 - Phone
- (516) 433-3866
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R054401-1 | NY | Primary |
Addresses
Primary practice location
19 Marvin Ave
Hicksville, NY 11801-5122
Mailing address
19 Marvin Ave
Hicksville, NY 11801-5122
Phone (516) 433-3866
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120914000004 | NY | Practitioner - Clinical Social Worker | 7719135888 | Practice locations: Hicksville, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R054401-1 | NY | MD | Clinical Social Worker |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356487094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MARVIN AVE",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015122",
"telephone_number": "516-433-3866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MARVIN AVE",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118015122",
"telephone_number": "516-433-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "HELENE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R054401-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.