Individual provider Active NPI

Suhadee Henriquez

  • School Social Worker
  • Long Island City, NY
National Provider Identifier
1912153933
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
390200000X Issued in CA
Practice address
475 48TH Ave
Long Island City, NY 11109-5501
Phone
(646) 302-2126
NPI assigned
Aug 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 390200000X CA Primary

Addresses

Primary practice location

475 48TH Ave
Long Island City, NY 11109-5501

Mailing address

475 48TH Ave
3006
Long Island City, NY 11109-5501
Phone (646) 302-2126

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
29107CAMDPharmacist
390200000XCAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1912153933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 48TH AVE",
            "address_2": "3006",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095501",
            "telephone_number": "646-302-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 48TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095501",
            "telephone_number": "646-302-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "SUHADEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-10",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.