Individual provider Active NPI

Nicole J Verdi, LCSW

  • Social Worker
  • Queens Village, NY
National Provider Identifier
1558098111
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
098818-01 Issued in NY
Practice address
8045 Winchester Blvd BLDG 73
Queens Village, NY 11427-2195
Phone
(718) 264-3339
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 098818-01 NY Primary

Addresses

Primary practice location

8045 Winchester Blvd BLDG 73
Queens Village, NY 11427-2195

Mailing address

80-45 Winchester Blvd
B73
Queens Village, NY 11427-2199
Phone (917) 723-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098818-01NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1558098111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80-45 WINCHESTER BLVD",
            "address_2": "B73",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272199",
            "telephone_number": "917-723-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD BLDG 73",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272195",
            "telephone_number": "718-264-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDI",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098818-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.