Individual provider Active NPI

Enoch Larbi Darko, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1891293791
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102353 Issued in NY
Practice address
40 W Mosholu Pkwy S Apt 33B
Bronx, NY 10468-1163
Phone
(347) 827-7320
NPI assigned
Jan 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 102353 NY Primary

Addresses

Primary practice location

40 W Mosholu Pkwy S Apt 33B
Bronx, NY 10468-1163

Mailing address

40 W Mosholu Pkwy S Apt 33B
Bronx, NY 10468-1163
Phone (347) 827-7320

Other identifiers 1

IdentifierTypeStateIssuer
779071599OtherNYNEW YORK SATE IDENTIFICATION CARD

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
102353NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1891293791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W MOSHOLU PKWY S APT 33B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681163",
            "telephone_number": "347-827-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W MOSHOLU PKWY S APT 33B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681163",
            "telephone_number": "347-827-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARKO",
        "first_name": "ENOCH",
        "middle_name": "LARBI",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK SATE IDENTIFICATION CARD",
            "identifier": "779071599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.