Individual provider Active NPI

Iasisha Quemelor Horry, MA

  • Social Worker
  • New York, NY
National Provider Identifier
1750876769
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
123456 Issued in NY
Practice address
590 6TH Ave
New York, NY 10011-2022
Phone
(212) 633-9300
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 123456 NY Primary

Addresses

Primary practice location

590 6TH Ave
New York, NY 10011-2022

Mailing address

527 W 143Rd St Apt 43
New York, NY 10031-6023
Phone (917) 213-0604

Other practice location 1

300 International Dr Ste 100
Williamsville, NY 14221-5783
Phone (888) 500-2067

Other practice location 2

100 Church St Fl 8
New York, NY 10007-2614
Phone (888) 500-2067

Other practice location 3

401 New Karner Rd Ste 300
Albany, NY 12205-3854
Phone (888) 500-2067

Other practice location 4

333 W Commercial St Fl 3
East Rochester, NY 14445-2400
Phone (888) 500-2067

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
123456NYMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Cartwheel Health Services PC Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1750876769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 143RD ST APT 43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316023",
            "telephone_number": "917-213-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112022",
            "telephone_number": "212-633-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 International Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215783",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Church St Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100072614",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 New Karner Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122053854",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 W Commercial St Fl 3",
            "address_purpose": "LOCATION",
            "city": "East Rochester",
            "state": "NY",
            "postal_code": "144452400",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORRY",
        "first_name": "IASISHA",
        "middle_name": "QUEMELOR",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.