Individual provider Active NPI

Samuel Anderson Humleker, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1750845665
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104944 Issued in NY
Practice address
4451 3Rd Ave
Bronx, NY 10457-2567
Phone
(718) 960-3860
NPI assigned
Jan 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 104944 NY Primary

Addresses

Primary practice location

4451 3Rd Ave
Bronx, NY 10457-2567

Mailing address

100 Arden St Apt 2H
New York, NY 10040-1588
Phone (612) 275-1255

Other names 1

  • Sam Humleker Other name

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
104944NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1750845665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARDEN ST APT 2H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401588",
            "telephone_number": "612-275-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572567",
            "telephone_number": "718-960-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMLEKER",
        "first_name": "SAMUEL",
        "middle_name": "ANDERSON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "104944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "HUMLEKER",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.