Active NPI
Nikki Annette Chamblee, LMSW
- Social Worker
- Fresh Meadows, NY
National Provider Identifier
1790939775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 068718
- Practice address
- 7102 Park Ave
Fresh Meadows, NY 11365-4105 - Phone
- (347) 743-4349
- Fax
- (718) 523-3358
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 068718 | NY | Primary |
Addresses
Primary practice location
7102 Park Ave
Fresh Meadows, NY 11365-4105
Mailing address
7102 Park Ave
Fresh Meadows, NY 11365-4105
Phone (347) 743-4349
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 |
|---|---|---|---|
| 068718 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1790939775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7102 PARK AVE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654105",
"telephone_number": "347-743-4349",
"fax_number": "718-523-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7102 PARK AVE",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654105",
"telephone_number": "347-743-4349",
"fax_number": "718-523-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBLEE",
"first_name": "NIKKI",
"middle_name": "ANNETTE",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "068718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.