Individual provider Active NPI

Fengtao Huang, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1407300650
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089925 Issued in NY
Practice address
6431 108TH St Ste 1284
Forest Hills, NY 11375-1612
Phone
(646) 572-6908
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089925 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 35660
Clinical Social Worker 1041C0700X 101232 NY

Addresses

Primary practice location

6431 108TH St Ste 1284
Forest Hills, NY 11375-1612

Mailing address

6431 108TH St Ste 1284
Forest Hills, NY 11375-1612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089925NYMDClinical Social Worker
101232NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Child Center of Ny, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Colorful Mind LCSW PLLC Addiction (Substance Use Disorder) CurrentSince Feb 2, 2025 Accepting new patients

Locations

14015 Sanford Ave
Ste B
Flushing, NY 11355
Phone (718) 450-9242

6431 108th St
Ste 1284
Forest Hills, NY 11375
Phone (646) 572-6908

11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1407300650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 108TH ST STE 1284",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 108TH ST STE 1284",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751612",
            "telephone_number": "646-572-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "FENGTAO",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089925",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "35660",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "101232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.