Active NPI
Lenwood L Hicks
- Health Educator
- Brooklyn, NY
National Provider Identifier
1427316090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 002771-1
- Practice address
- 901 Classon Avenue
Brooklyn, NY 11225-1006 - Phone
- (718) 636-4900
- Fax
- (718) 857-3688
- NPI assigned
- May 2, 2012
- Last updated
- May 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 002771-1 | NY | Primary |
Addresses
Primary practice location
901 Classon Avenue
Brooklyn, NY 11225-1006
Mailing address
901 Classon Ave
Room 131
Brooklyn, NY 11225-1006
Phone (718) 636-4900
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 |
|---|---|---|---|
| 002771-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1427316090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 CLASSON AVE",
"address_2": "ROOM 131",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251006",
"telephone_number": "718-636-4900",
"fax_number": "718-857-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CLASSON AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251006",
"telephone_number": "718-636-4900",
"fax_number": "718-857-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "LENWOOD",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-02",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "002771-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.