Active NPI
Joselyn Carolina Guazhima Sanchez, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1437709409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 098191-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 111694 | NY | MD | Social Worker |
| 098191-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmel Psychological Health, PC | Clinical | Past | 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.