Active NPI
Nicole Fontenot
- Social Worker
- New York, NY
National Provider Identifier
1518644236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 120009
- Practice address
- 225 W 35TH St FL 7
New York, NY 10001-1975 - Phone
- (413) 355-6916
- NPI assigned
- Jul 4, 2023
- Last updated
- Jul 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 120009 | NY | Primary |
Addresses
Primary practice location
225 W 35TH St FL 7
New York, NY 10001-1975
Mailing address
24 Canton Ave
Amherst, MA 01002-1804
Phone (413) 355-6916
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 |
|---|---|---|---|
| 120009 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1518644236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CANTON AVE",
"city": "AMHERST",
"state": "MA",
"postal_code": "010021804",
"telephone_number": "413-355-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W 35TH ST FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100011975",
"telephone_number": "413-355-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTENOT",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-04",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "120009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.