Sandy Plaza, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078676 Issued in NY

Practice address

3720 76TH St
Jackson Heights, NY 11372-6502

Phone

(718) 478-1526

Fax

(718) 429-0738

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Queens Psychotherapy LCSW Services P.C.

  • Clinical Social Worker
  • Rego Park, NY
  • NPI 1366806705
  Medicare reassignment NPD
• Samuel Field Ym&Ywha

  • Adult Mental Health Clinic/Center
  • Little Neck, NY
  • NPI 1205862950
  NPD (past)
• Visiting Nurse Service of New York Hospice Care

  • Community Based Hospice Care Agency
  • New York, NY
  • NPI 1215928510
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1497956494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 76TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726502",
            "telephone_number": "718-478-1526",
            "fax_number": "718-429-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 76TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726502",
            "telephone_number": "718-478-1526",
            "fax_number": "718-429-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAZA",
        "first_name": "SANDY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075363",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Pillaga
• Ramon R Pimentel, M.D.
• Luis F Pineda I, D.D.S
• Yelena Pinkhas, DDS
• Khairun Pinki, DO
• Angela Plugues, LMSW
• Plus Physical Therapy PC
• Podiatry Family Foot Care P.C.
• Bradley Polan, OPTICIAN
• Jossiel David Polanco Rosado, LMSW

• Clinical Social Worker in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.