Individual provider Active NPI

Emily Anastasia Khoshaboo, LMSW

  • Social Worker
  • White Plains, NY
National Provider Identifier
1730746322
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106203 Issued in NY
Practice address
456 North St
White Plains, NY 10605-3003
Phone
(914) 761-2731
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 1201303833 CT
Social Worker 104100000X 106203 NY Primary

Addresses

Primary practice location

456 North St
White Plains, NY 10605-3003

Mailing address

255 W Rocks Rd
Norwalk, CT 06851-1130
Phone (203) 496-9388

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

LicenseStateTypeSpecialty
106203NYMDSocial Worker
1201303833CTMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1730746322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W ROCKS RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511130",
            "telephone_number": "203-496-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 NORTH ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106053003",
            "telephone_number": "914-761-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSHABOO",
        "first_name": "EMILY",
        "middle_name": "ANASTASIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CT",
            "license": "1201303833",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.