Individual provider Active NPI

Fatoumata Niakate, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1750756334
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
089776 Issued in NY
Practice address
205 Hudson St
New York, NY 10013-1803
Phone
(646) 770-1657
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 096494 NY
Social Worker 104100000X 089776 NY Primary

Addresses

Primary practice location

205 Hudson St
New York, NY 10013-1803

Mailing address

2400 7TH Ave Apt 37
New York, NY 10030-1829
Phone (927) 371-9367

Other practice location 1

329 E 149th St
4th Floor
Bronx, NY 10451-5601
Phone (718) 769-2698 ext. 304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027000619 NY Practitioner - Clinical Social Worker 6608296983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096494NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Grow Healthcare Group PA CurrentSince Apr 6, 2024 Accepting new patients
City Pro Group Inc Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Interoperability endpoints

  • Direct secure messaging: fatoumataniakate@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1750756334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 7TH AVE APT 37",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100301829",
            "telephone_number": "927-371-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HUDSON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131803",
            "telephone_number": "646-770-1657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 E 149th St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515601",
            "country_code": "US",
            "telephone_number": "718-769-2698 x304",
            "fax_number": "718-401-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIAKATE",
        "first_name": "FATOUMATA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "096494",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.