Individual provider Active NPI

Chaya Feuerman, LCSW-R

  • Clinical Social Worker
  • Flushing, NY
National Provider Identifier
1508039546
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
054588 Issued in NY
Practice address
14732 69TH Rd
Flushing, NY 11367-1732
Phone
(718) 793-1376
Fax
(718) 686-4275
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 054588 NY Primary

Addresses

Primary practice location

14732 69TH Rd
Flushing, NY 11367-1732

Mailing address

14732 69TH Rd
Flushing, NY 11367-1732
Phone (718) 793-1376

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

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1508039546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14732 69TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671732",
            "telephone_number": "718-793-1376",
            "fax_number": "718-686-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14732 69TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671732",
            "telephone_number": "718-793-1376",
            "fax_number": "718-686-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUERMAN",
        "first_name": "CHAYA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "054588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.