Active NPI
Michelle Xian
- Social Worker
- Woodside, NY
National Provider Identifier
1396226999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104464
- Practice address
- 42-77 65TH PL.
Woodside, NY 11377 - Phone
- (718) 429-2000
- NPI assigned
- Aug 22, 2018
- Last updated
- Jul 28, 2023
- 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 | 104464 | NY | Primary |
Addresses
Primary practice location
42-77 65TH PL.
Woodside, NY 11377
Mailing address
4277 65TH PL
Woodside, NY 11377-5054
Phone (718) 429-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250418001398 | NY | Order and Referring Only - Clinical Social Worker | 2264957539 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104464 | NY | MD | Social Worker |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1396226999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4277 65TH PL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775054",
"telephone_number": "718-429-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42-77 65TH PL.",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "11377",
"telephone_number": "718-429-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIAN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "104464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.