Individual provider Active NPI

Natoya A Clarke

  • Social Worker
  • Yonkers, NY
National Provider Identifier
1598420036
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0893381 Issued in NY
Practice address
1 Executive Blvd Ste 178
Yonkers, NY 10701-6836
Phone
(914) 595-1482
NPI assigned
Oct 31, 2021
Last updated
Oct 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 0893381 NY Primary

Addresses

Primary practice location

1 Executive Blvd Ste 178
Yonkers, NY 10701-6836

Mailing address

754 Bronx River Rd Apt B23
Bronxville, NY 10708-7905
Phone (914) 316-8174

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
0893381NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

1 Executive Blvd
Ste 178
Yonkers, NY 10701
Phone (914) 595-1482

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1598420036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 BRONX RIVER RD APT B23",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107087905",
            "telephone_number": "914-316-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD STE 178",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016836",
            "telephone_number": "914-595-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "NATOYA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0893381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.