Individual provider Active NPI

Julie E Garcia Ordonez

  • Social Worker
  • Corona, NY
National Provider Identifier
1558989657
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108865-01 Issued in NY
Practice address
4035 Junction Blvd
Corona, NY 11368-2121
Phone
(917) 995-3773
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 108865-01 NY Primary

Addresses

Primary practice location

4035 Junction Blvd
Corona, NY 11368-2121

Mailing address

2698 8TH Ave Apt 12L
New York, NY 10030-1238
Phone (347) 475-5375

Other practice location 1

115 E Stevens Ave Ste Li5
Valhalla, NY 10595-1203
Phone (914) 997-8000

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

LicenseStateTypeSpecialty
108865-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Support Evaluation and Intervention Services LCSW P.C PastSince Jul 12, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1558989657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 8TH AVE APT 12L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301238",
            "telephone_number": "347-475-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682121",
            "telephone_number": "917-995-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Stevens Ave Ste Li5",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951203",
            "country_code": "US",
            "telephone_number": "914-997-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA ORDONEZ",
        "first_name": "JULIE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108865-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.