Active NPI
Lynouse Angela Saint-Louis, LMSW
- Social Worker
- Wheatley Heights, NY
National Provider Identifier
1932729456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109195
- Practice address
- 20 Woodstock Dr
Wheatley Heights, NY 11798-1411 - Phone
- (269) 357-1355
- NPI assigned
- Apr 24, 2020
- Reactivated
- Jun 22, 2022
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 109195 | NY | Primary |
Addresses
Primary practice location
20 Woodstock Dr
Wheatley Heights, NY 11798-1411
Mailing address
20 Woodstock Dr
Wheatley Heights, NY 11798-1411
Phone (269) 357-1355
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 |
|---|---|---|---|
| 109195 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1932729456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WOODSTOCK DR",
"city": "WHEATLEY HEIGHTS",
"state": "NY",
"postal_code": "117981411",
"telephone_number": "269-357-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WOODSTOCK DR",
"city": "WHEATLEY HEIGHTS",
"state": "NY",
"postal_code": "117981411",
"telephone_number": "269-357-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINT-LOUIS",
"first_name": "LYNOUSE",
"middle_name": "ANGELA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"deactivation_date": "2021-03-09",
"reactivation_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "109195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheatley Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.