Active NPI
Lieu Knipping Thai
- Social Worker
- Jackson Heights, NY
National Provider Identifier
1770041378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105336
- Practice address
- 7410 35TH Ave Apt 107W
Jackson Heights, NY 11372-8105 - Phone
- (718) 898-5600
- NPI assigned
- Mar 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 105336 | NY | Primary |
Addresses
Primary practice location
7410 35TH Ave Apt 107W
Jackson Heights, NY 11372-8105
Mailing address
4295 Main St Apt 4a
Flushing, NY 11355-4701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105336 | Other | NY | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105336 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1770041378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4295 MAIN ST APT 4A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 35TH AVE APT 107W",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113728105",
"telephone_number": "718-898-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAI",
"first_name": "LIEU",
"middle_name": "KNIPPING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "105336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "105336",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.