Individual provider Active NPI

Jacqueline Beatris Herrera, MSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1922615525
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
529 Courtlandt Ave FL 5
Bronx, NY 10451-5007
Phone
(347) 370-0250
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

529 Courtlandt Ave FL 5
Bronx, NY 10451-5007

Mailing address

227 Palisade Ave Apt 2C
Yonkers, NY 10703-3124
Phone (347) 370-0250

Other names 1

  • Jackie B Herrera Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://outlook.office365.com/mail/inbox/id/AAQkAGIxOWMwMWM2LTUzMDAtNDMwYi04MWJhLThmNTkwM2MwMzM0NAAQ Direct

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1922615525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 PALISADE AVE APT 2C",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107033124",
            "telephone_number": "347-370-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COURTLANDT AVE FL 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515007",
            "telephone_number": "347-370-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JACQUELINE",
        "middle_name": "BEATRIS",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://outlook.office365.com/mail/inbox/id/AAQkAGIxOWMwMWM2LTUzMDAtNDMwYi04MWJhLThmNTkwM2MwMzM0NAAQ",
            "affiliation": "N",
            "endpointDescription": "https://outlook.office365.com/mail/inbox/id/AAQkAGIxOWMwMWM2LTUzMDAtNDMwYi04MWJhLThmNTkwM2MwMzM0NAAQAMlndFnQoxhCit8%2FJ%2BLJwds%3D",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "529 Courtlandt Ave Fl 5",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104515007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "HERRERA",
            "middle_name": "B",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Sep 28, 2020; 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.