Organization Active NPI

Nixon a. Charles Consulting Services LLC

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1609389048
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NIXON A. CHARLES CONSULTING SERVICES LLC
Practice address
13130A Merrick Blvd
Jamaica, NY 11434-4134
Phone
(718) 233-2556
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Nixon Charles, LCSW-R
Title
President
Phone
(631) 949-7051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

13130A Merrick Blvd
Jamaica, NY 11434-4134

Mailing address

74 Church LN
Middle Island, NY 11953-1708
Phone (631) 949-7051

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1609389048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CHURCH LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531708",
            "telephone_number": "631-949-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13130A MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344134",
            "telephone_number": "718-233-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIXON A. CHARLES CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "NIXON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-949-7051",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.