Active NPI
Judelca Pichardo, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1356589733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72069472
- Practice address
- 1650 Selwyn Ave Apt 7a
Bronx, NY 10457-7688 - Phone
- (718) 960-1069
- Fax
- (718) 960-1354
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 72069472 | NY | Primary |
Addresses
Primary practice location
1650 Selwyn Ave Apt 7a
Bronx, NY 10457-7688
Mailing address
1650 Selwyn Ave Apt 7a
Bronx, NY 10457-7688
Phone (718) 960-1069
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72069472 | NY | MD | Social Worker |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1356589733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 SELWYN AVE APT 7A",
"city": "BRONX",
"state": "NY",
"postal_code": "104577688",
"telephone_number": "718-960-1069",
"fax_number": "718-960-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 SELWYN AVE APT 7A",
"city": "BRONX",
"state": "NY",
"postal_code": "104577688",
"telephone_number": "718-960-1069",
"fax_number": "718-960-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHARDO",
"first_name": "JUDELCA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72069472",
"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 Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.