Active NPI
Yingjia Huang, LCSW
- Clinical Social Worker
- West New York, NJ
National Provider Identifier
1902512783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149028625
- Practice address
- 25 Ave at Port Imperial Apt 918
West New York, NJ 07093-8360 - Phone
- (217) 819-0441
- NPI assigned
- Jan 25, 2023
- Last updated
- Jan 10, 2025
- 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 | 149028625 | IL | Primary |
Addresses
Primary practice location
25 Ave at Port Imperial Apt 918
West New York, NJ 07093-8360
Mailing address
25 Ave at Port Imperial Apt 918
West New York, NJ 07093-8360
Phone (217) 819-0441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XOX808148046 | Other | IL | BLUECROSSBLUESHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149028625 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1902512783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 AVE AT PORT IMPERIAL APT 918",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070938360",
"telephone_number": "217-819-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 AVE AT PORT IMPERIAL APT 918",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070938360",
"telephone_number": "217-819-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "YINGJIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149028625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "XOX808148046",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.