Active NPI
Sammantha Taylor Pearsall
- Social Worker
- Astoria, NY
National Provider Identifier
1669966438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103510-1
- Practice address
- 37 - 11 35TH Ave
Suite 3C
Astoria, NY 11101 - Phone
- (718) 706-7500
- NPI assigned
- Jun 15, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 103510-1 | NY | Primary |
Addresses
Primary practice location
37 - 11 35TH Ave
Suite 3C
Astoria, NY 11101
Mailing address
32 Awixa Ave
Bay Shore, NY 11706-8802
Phone (631) 275-7793
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 |
|---|---|---|---|
| 103510-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1669966438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 AWIXA AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068802",
"telephone_number": "631-275-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 - 11 35TH AVE",
"address_2": "SUITE 3C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11101",
"telephone_number": "718-706-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSALL",
"first_name": "SAMMANTHA",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103510-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.