Active NPI
Denicia Heywood, LMSW
- Social Worker
- Woodside, NY
National Provider Identifier
1699626705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11832201
- Practice address
- 4902 Queens Blvd Ste 2
Woodside, NY 11377-4445 - Phone
- (929) 296-6790
- Fax
- (929) 300-0280
- NPI assigned
- Feb 5, 2026
- 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 | 11832201 | NY | Primary |
Addresses
Primary practice location
4902 Queens Blvd Ste 2
Woodside, NY 11377-4445
Mailing address
19059 111TH Ave
Saint Albans, NY 11412-2011
Phone (202) 695-2133
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 |
|---|---|---|---|
| 11832201 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1699626705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19059 111TH AVE",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122011",
"telephone_number": "202-695-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 QUEENS BLVD STE 2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774445",
"telephone_number": "929-296-6790",
"fax_number": "929-300-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYWOOD",
"first_name": "DENICIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "11832201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.