Individual provider Active NPI

Radhica Sukhram, LCSW-R

  • Clinical Social Worker
  • Bronxville, NY
National Provider Identifier
1366143398
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084613 Issued in NY
Practice address
17 Bronxville Rd Apt 2L
Bronxville, NY 10708-6135
Phone
(718) 918-6746
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 084613 NY Primary

Addresses

Primary practice location

17 Bronxville Rd Apt 2L
Bronxville, NY 10708-6135

Mailing address

17 Bronxville Rd Apt 2L
Bronxville, NY 10708-6135
Phone (718) 918-6746

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909004007 NY Order and Referring Only - Clinical Social Worker 4082117817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1366143398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BRONXVILLE RD APT 2L",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086135",
            "telephone_number": "718-918-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BRONXVILLE RD APT 2L",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107086135",
            "telephone_number": "718-918-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHRAM",
        "first_name": "RADHICA",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.