Active NPI
Gabriella Jamie Sanford
- Social Worker
- New York, NY
National Provider Identifier
1891326625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1841 Park Ave
New York, NY 10035-1316 - Phone
- (646) 459-6091
- NPI assigned
- Jan 30, 2020
- 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 | Primary |
Addresses
Primary practice location
1841 Park Ave
New York, NY 10035-1316
Mailing address
1841 Park Ave
New York, NY 10035-1316
Phone (646) 459-6091
Other practice location 1
5716 Michigan Ave
Detroit, MI 48210-3039
Phone (313) 963-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891326625 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gsanford@swsol.org | Direct | Southwest Solutions |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1891326625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351316",
"telephone_number": "646-459-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351316",
"telephone_number": "646-459-6091"
}
],
"practiceLocations": [
{
"address_1": "5716 Michigan Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482103039",
"country_code": "US",
"telephone_number": "313-963-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANFORD",
"first_name": "GABRIELLA",
"middle_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891326625",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gsanford@swsol.org",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Southwest Solutions",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "5716 Michigan Ave",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482103039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.