Active NPI
Juana Coca
- Clinical Social Worker
- New York, NY
National Provider Identifier
1619257565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7129278
- Practice address
- 535 8TH Ave
2ND Floor Los Ninos
New York, NY 10018 - Phone
- (646) 755-8114
- NPI assigned
- Aug 24, 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 | 063095-1 | NY | |
| Clinical Social Worker | 1041C0700X | 7129278 | NY | Primary |
Addresses
Primary practice location
535 8TH Ave
2ND Floor Los Ninos
New York, NY 10018
Mailing address
176 West 94TH Street
Apt 6C
New York, NY 10025
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 |
|---|---|---|---|
| 063095-1 | NY | MD | Social Worker |
| 7129278 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1619257565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 WEST 94TH STREET",
"address_2": "APT 6C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 8TH AVE",
"address_2": "2ND FLOOR LOS NINOS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10018",
"telephone_number": "646-755-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCA",
"first_name": "JUANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "063095-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "7129278",
"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 Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.