Individual provider Active NPI

Henrietta Long-Hall

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1467848127
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081698-1 Issued in NY
Practice address
3114 30TH Ave
2ND FL
Astoria, NY 11102-1530
Phone
(718) 204-1200
NPI assigned
Apr 9, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081698-1 NY Primary
Community/Behavioral Health Agency 251S00000X 081698 NY

Addresses

Primary practice location

3114 30TH Ave
2ND FL
Astoria, NY 11102-1530

Mailing address

3114 30TH Ave
2ND FL
Astoria, NY 11102-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126001546 NY Practitioner - Clinical Social Worker 8628460565 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081698NYMDClinical Social Worker
081698-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Clinical CurrentSince Dec 21, 2021 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Dec 21, 2021 Accepting new patients
Hanac, Inc. Past Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1467848127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 30TH AVE",
            "address_2": "2ND FL",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 30TH AVE",
            "address_2": "2ND FL",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021530",
            "telephone_number": "718-204-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG-HALL",
        "first_name": "HENRIETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081698-1",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "081698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.