Active NPI
Michelle R Hussey, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1578845806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083151
- Practice address
- 100 Church St
New York, NY 10007-2601 - Phone
- (844) 488-1486
- NPI assigned
- Sep 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 078759 | NY | |
| Clinical Social Worker | 1041C0700X | 083151 | NY | Primary |
Addresses
Primary practice location
100 Church St
New York, NY 10007-2601
Mailing address
100 Church St
New York, NY 10007-2601
Phone (844) 488-1486
Other practice location 1
3722 82nd St
Jackson Heights, NY 11372-7032
Phone (718) 779-1600
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 |
|---|---|---|---|
| 078759 | NY | MD | Social Worker |
| 083151 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1578845806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHURCH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072601",
"telephone_number": "844-488-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHURCH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100072601",
"telephone_number": "844-488-1486"
}
],
"practiceLocations": [
{
"address_1": "3722 82nd St",
"address_purpose": "LOCATION",
"city": "Jackson Heights",
"state": "NY",
"postal_code": "113727032",
"country_code": "US",
"telephone_number": "718-779-1600",
"fax_number": "718-803-0895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUSSEY",
"first_name": "MICHELLE",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "078759",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083151",
"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 Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.