Active NPI
Sandra Joy Nohavicka, LCSW
- Clinical Social Worker
- Woodside, NY
National Provider Identifier
1831479088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R044771-1
- Practice address
- 6110 Queens Blvd
Woodside, NY 11377-5776 - Phone
- (212) 609-4011
- Fax
- (212) 290-0162
- NPI assigned
- Aug 19, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R044771-1 | NY | Primary |
Addresses
Primary practice location
6110 Queens Blvd
Woodside, NY 11377-5776
Mailing address
6110 Queens Blvd
Woodside, NY 11377-5776
Phone (212) 609-4011
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R044771-1 | NY | MD | Clinical Social Worker |
| 044771 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1831479088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 QUEENS BLVD",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775776",
"telephone_number": "212-609-4011",
"fax_number": "212-290-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 QUEENS BLVD",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775776",
"telephone_number": "212-609-4011",
"fax_number": "212-290-0162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOHAVICKA",
"first_name": "SANDRA",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R044771-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.