Active NPI
Faith Works Social Work Services PLLC
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FAITH WORKS SOCIAL WORK SERVICES PLLC
- Practice address
- 1133 Broadway
Suite 1404
New York, NY 10010-7903 - Phone
- (917) 495-8161
- NPI assigned
- May 2, 2007
- Last updated
- Jun 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacqueline Smith Williams, MSW
- Title
- Christian Psychotherapist Sole Prop
- Phone
- (917) 495-8161
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
1133 Broadway
Suite 1404
New York, NY 10010-7903
Mailing address
1133 Broadway
Suite 1404
New York, NY 10010-7903
Phone (917) 495-8161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1T023712136 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1133 Broadway
Ste 1404
New York, NY 10010
Phone (917) 495-8161
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Forest Hills, NY
- NPI 1326950544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370822400000",
"number": "1780805952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"address_2": "SUITE 1404",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107903",
"telephone_number": "917-495-8161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 BROADWAY",
"address_2": "SUITE 1404",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107903",
"telephone_number": "917-495-8161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH WORKS SOCIAL WORK SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2013-06-10",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "SMITH",
"authorized_official_title_or_position": "CHRISTIAN PSYCHOTHERAPIST SOLE PROP",
"authorized_official_telephone_number": "917-495-8161",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1T023712136",
"state": "NY"
}
],
"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 Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.