Active NPI
Felice Henderson
- School Social Worker
- Jamaica, NY
National Provider Identifier
1629510003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 002996
- Practice address
- 12520 Sutphin Blvd
Jamaica, NY 11434-2340 - Phone
- (718) 322-9086
- Fax
- (718) 529-0852
- NPI assigned
- Nov 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 002996 | CT | Primary |
Addresses
Primary practice location
12520 Sutphin Blvd
Jamaica, NY 11434-2340
Mailing address
5523 Whitty LN
Brooklyn, NY 11203-6705
Phone (718) 322-9086
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 |
|---|---|---|---|
| 002996 | CT | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1629510003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5523 WHITTY LN",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112036705",
"telephone_number": "718-322-9086",
"fax_number": "718-529-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12520 SUTPHIN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114342340",
"telephone_number": "718-322-9086",
"fax_number": "718-529-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "FELICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CT",
"license": "002996",
"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 Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.