Active NPI
Eric Lee Danforth, M.S.W.
- Clinical Social Worker
- Far Rockaway, NY
National Provider Identifier
1740411693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1329 Beach Channel Dr
Far Rockaway, NY 11691-3211 - Phone
- (718) 337-6850
- NPI assigned
- Jul 27, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1329 Beach Channel Dr
Far Rockaway, NY 11691-3211
Mailing address
3745 75TH St
Apt #3F
Jackson Heights, NY 11372-6435
Phone (443) 985-1890
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1740411693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3745 75TH ST",
"address_2": "APT #3F",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726435",
"telephone_number": "443-985-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 BEACH CHANNEL DR",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116913211",
"telephone_number": "718-337-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANFORTH",
"first_name": "ERIC",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.