Individual provider Active NPI

Felicia Grace Senicola, LMSW

  • Social Worker
  • Central Islip, NY
National Provider Identifier
1669629010
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
077018 Issued in NY
Practice address
115 Carleton Ave
1St Floor
Central Islip, NY 11722-3619
Phone
(631) 234-7807
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 077018 NY Primary

Addresses

Primary practice location

115 Carleton Ave
1St Floor
Central Islip, NY 11722-3619

Mailing address

159 W 5TH St
Deer Park, NY 11729-5115
Phone (631) 667-2356

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
077018NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1669629010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 W 5TH ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295115",
            "telephone_number": "631-667-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CARLETON AVE",
            "address_2": "1ST FLOOR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223619",
            "telephone_number": "631-234-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENICOLA",
        "first_name": "FELICIA",
        "middle_name": "GRACE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.