Carole Nedzela, A.C.S.W., B.C.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR018361 Issued in NY

Practice address

14031 Oak Ave
Flushing, NY 11355-3558

Phone

(718) 762-0918

Fax

(718) 762-2005

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Osvaldo J Evangelista,PC

  • Psychiatry Physician
  • Flushing, NY
  • NPI 1831489046
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932264348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 OAK AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553558",
            "telephone_number": "718-762-0918",
            "fax_number": "718-762-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 OAK AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553558",
            "telephone_number": "718-762-0918",
            "fax_number": "718-762-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDZELA",
        "first_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "A.C.S.W., B.C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR018361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Flushing, NY
• Providers in Flushing, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.