Active NPI
Eva Teresa Hallstrom-Conkright, LCSW
- Social Worker
- Yonkers, NY
National Provider Identifier
1386978138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 080375
- Practice address
- 1 Odell PLZ
C/O WJCS - Family Matters Program
Yonkers, NY 10701-1402 - Phone
- (914) 237-6089
- Fax
- (914) 237-6099
- NPI assigned
- Sep 28, 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 | 080375 | NY | Primary |
Addresses
Primary practice location
1 Odell PLZ
C/O WJCS - Family Matters Program
Yonkers, NY 10701-1402
Mailing address
6 Carlyle Place
Hartsdale, NY 10530
Phone (914) 237-6089
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
| License | State | Type | Specialty |
|---|---|---|---|
| 080375 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1386978138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CARLYLE PLACE",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "10530",
"telephone_number": "914-237-6089",
"fax_number": "914-237-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ODELL PLZ",
"address_2": "C/O WJCS - FAMILY MATTERS PROGRAM",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011402",
"telephone_number": "914-237-6089",
"fax_number": "914-237-6099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLSTROM-CONKRIGHT",
"first_name": "EVA",
"middle_name": "TERESA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "080375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.