Individual provider Active NPI

Joselyn Carolina Guazhima Sanchez, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1437709409
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098191-01 Issued in NY
Practice address
203 Jay St
Brooklyn, NY 11201-4398
Phone
(347) 304-9465
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111694 NY
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 098191-01 NY Primary

Addresses

Primary practice location

203 Jay St
Brooklyn, NY 11201-4398

Mailing address

9318 86TH Rd
Jamaica, NY 11421-1430

Other practice location 1

3410 108th St
Corona, NY 11368
Phone (347) 287-0175

Other practice location 2

11835 Queens Blvd Fl 6
Forest Hills, NY 11375-7211
Phone (718) 671-7770

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

LicenseStateTypeSpecialty
111694NYMDSocial Worker
098191-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Clinical PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1437709409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 86TH RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114211430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014398",
            "telephone_number": "347-304-9465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 108th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "11368",
            "country_code": "US",
            "telephone_number": "347-287-0175",
            "fax_number": "347-287-0172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11835 Queens Blvd Fl 6",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113757211",
            "country_code": "US",
            "telephone_number": "718-671-7770",
            "fax_number": "718-396-8349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAZHIMA SANCHEZ",
        "first_name": "JOSELYN",
        "middle_name": "CAROLINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111694",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098191-01",
            "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 Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.