Individual provider Active NPI

Michelle Shlomowitz, LMSW

  • Clinical Social Worker
  • Far Rockaway, NY
National Provider Identifier
1861145831
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115421 Issued in NY
Practice address
156 Beach 9TH St
Far Rockaway, NY 11691-5636
Phone
(718) 686-3149
Fax
(718) 686-4149
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 115421 NY Primary

Addresses

Primary practice location

156 Beach 9TH St
Far Rockaway, NY 11691-5636

Mailing address

156 Beach 9TH St
Far Rockaway, NY 11691-5636
Phone (718) 686-3149

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
115421NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1861145831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 BEACH 9TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915636",
            "telephone_number": "718-686-3149",
            "fax_number": "718-686-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 BEACH 9TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915636",
            "telephone_number": "718-686-3149",
            "fax_number": "718-686-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLOMOWITZ",
        "first_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "115421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.