Individual provider Active NPI

Lupe Suarez, MSW CLINICAL SOCIAL

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1629110978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P0254761 Issued in NY
Practice address
1301 Zerega Ave
PS Ms194
Bronx, NY 10462-5414
Phone
(718) 892-5270
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P0254761 NY Primary

Addresses

Primary practice location

1301 Zerega Ave
PS Ms194
Bronx, NY 10462-5414

Mailing address

765 North Broadway
Apt 1D
Hastings on Hudson, NY 10706-1035
Phone (914) 478-0331

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
P0254761NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629110978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 NORTH BROADWAY",
            "address_2": "APT 1D",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061035",
            "telephone_number": "914-478-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ZEREGA AVE",
            "address_2": "PS MS194",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625414",
            "telephone_number": "718-892-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "LUPE",
        "name_prefix": "Ms.",
        "credential": "MSW CLINICAL SOCIAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P0254761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.