Active NPI
Shayon Bonique Hewitt, LMSW
- Social Worker
- Mount Vernon, NY
National Provider Identifier
1699440123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1564451
- Practice address
- 10 Dell Ave Ste 202
Mount Vernon, NY 10553-1062 - Phone
- (914) 564-7096
- NPI assigned
- Aug 16, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1564451 | NY | |
| Counseling Psychologist | 103TC1900X | 1564451 | NY | |
| Social Worker | 104100000X | 1699440123 | NY | |
| Social Worker | 104100000X | 1564451 | NY | Primary |
Addresses
Primary practice location
10 Dell Ave Ste 202
Mount Vernon, NY 10553-1062
Mailing address
10 Dell Ave Ste 202
Mount Vernon, NY 10553-1062
Phone (914) 564-7096
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | bonique90_yahoo.com |
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 |
|---|---|---|---|
| 1564451 | NY | MD | Social Worker |
| 1699440123 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1699440123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DELL AVE STE 202",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531062",
"telephone_number": "914-564-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DELL AVE STE 202",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531062",
"telephone_number": "914-564-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "SHAYON",
"middle_name": "BONIQUE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1564451",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "1564451",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "1699440123",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "1564451",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "bonique90_yahoo.com",
"affiliation": "N",
"address_1": "10 Dell Ave Ste 202",
"city": "Mount Vernon",
"state": "NY",
"country_code": "US",
"postal_code": "105531062",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.