Active NPI
Nada Khalifeh, LMSW
- Social Worker
- Pleasantville, NY
National Provider Identifier
1598354086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 108265-01
- Practice address
- 1075 Broadway
Pleasantville, NY 10570-2346 - Phone
- (845) 654-4483
- NPI assigned
- Jan 11, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 108265-01 | ||
| Social Worker | 104100000X | 108265-01 | NY | Primary |
Addresses
Primary practice location
1075 Broadway
Pleasantville, NY 10570-2346
Mailing address
1075 Broadway
Pleasantville, NY 10570-2346
Phone (845) 654-4483
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 |
|---|---|---|---|
| 108265-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1598354086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 BROADWAY",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105702346",
"telephone_number": "845-654-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 BROADWAY",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105702346",
"telephone_number": "845-654-4483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIFEH",
"first_name": "NADA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "108265-01",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "108265-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasantville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.