Individual provider Active NPI

Annette Bluth Nadboy, LCSW

  • Clinical Social Worker
  • West Hempstead, NY
National Provider Identifier
1841445731
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075393-1 Issued in NY
Practice address
753 Wildwood Rd
West Hempstead, NY 11552-3413
Phone
(516) 481-0412
Fax
(516) 505-1753
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075393-1 NY Primary

Addresses

Primary practice location

753 Wildwood Rd
West Hempstead, NY 11552-3413

Mailing address

753 Wildwood Rd
West Hempstead, NY 11552-3413
Phone (516) 481-0412

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

LicenseStateTypeSpecialty
075393-1NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1841445731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 WILDWOOD RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523413",
            "telephone_number": "516-481-0412",
            "fax_number": "516-505-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 WILDWOOD RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523413",
            "telephone_number": "516-481-0412",
            "fax_number": "516-505-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADBOY",
        "first_name": "ANNETTE",
        "middle_name": "BLUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075393-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.