Individual provider Active NPI

Nadine Tricia-Marie George

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1679192074
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096107 Issued in NY
Practice address
10470 Queens Blvd FL 2
Forest Hills, NY 11375-3638
Phone
(888) 272-9355
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06471600 NJ
Clinical Social Worker 1041C0700X 096107 NY Primary

Addresses

Primary practice location

10470 Queens Blvd FL 2
Forest Hills, NY 11375-3638

Mailing address

917 E 49TH St
Brooklyn, NY 11203-6607
Phone (646) 320-4178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113003000 NY Practitioner - Clinical Social Worker 6709233786 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bleuler Psychotherapy Center IncGroup PAC ID 3274425988, 23 clinicians

Practice addresses (Care Compare)

8211 37TH Ave
Suite 901
Jackson Heights, NY 11372-7001
Phone (888) 272-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06471600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bleuler Psychotherapy Center, Inc. CurrentSince May 6, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 7, 2024 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Sep 10, 2023 Accepting new patients
Catholic Charities Neigborhood Services Clinical PastSince Apr 1, 2020 Accepting new patients

Locations

191 Joralemon St
Fl 11
Brooklyn, NY 11201

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

10470 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (866) 404-6913

10470 Queens Blvd
Fl 2
Forest Hills, NY 11375
Phone (347) 794-6045

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

8211 37th Ave
Ste 901
Jackson Heights, NY 11372
Phone (888) 272-9355

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

7815 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 296-7918

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1679192074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 E 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036607",
            "telephone_number": "646-320-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 QUEENS BLVD FL 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753638",
            "telephone_number": "888-272-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "NADINE",
        "middle_name": "TRICIA-MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06471600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.