Individual provider Active NPI

Noora Johanna Niskanen, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1699023697
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084591 Issued in NY
Practice address
115 Charles St BSMT BW
New York, NY 10014-2531
Phone
(646) 526-4321
NPI assigned
Aug 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 084591 NY Primary

Addresses

Primary practice location

115 Charles St BSMT BW
New York, NY 10014-2531

Mailing address

545 Prospect PL Apt 10I
Brooklyn, NY 11238-4271
Phone (646) 526-4321

Other practice location 1

226 W 26th St Fl 8
New York, NY 10001-6700
Phone (646) 526-4321

Other practice location 2

545 Prospect Pl
Apt. 10L
Brooklyn, NY 11238-4266
Phone (646) 526-4321

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
084591NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1699023697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PROSPECT PL APT 10I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384271",
            "telephone_number": "646-526-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHARLES ST BSMT BW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142531",
            "telephone_number": "646-526-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 W 26th St Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016700",
            "country_code": "US",
            "telephone_number": "646-526-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Prospect Pl",
            "address_2": "Apt. 10L",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112384266",
            "country_code": "US",
            "telephone_number": "646-526-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISKANEN",
        "first_name": "NOORA",
        "middle_name": "JOHANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.