Individual provider Active NPI

Denise Baird

  • Clinical Social Worker
  • Rego Park, NY
National Provider Identifier
1952766479
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085626-1 Issued in NY
Practice address
9729 64TH Rd
Rego Park, NY 11374-2259
Phone
(718) 896-3400
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085626-1 NY Primary

Addresses

Primary practice location

9729 64TH Rd
Rego Park, NY 11374-2259

Mailing address

185 Chauncey St Apt 4
Brooklyn, NY 11233-2156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610000637 NY Practitioner - Clinical Social Worker 2567904204 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085626-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Consultation Center, Inc. Clinical CurrentSince Dec 13, 2024 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Apr 22, 2024 Accepting new patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients

Locations

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

191 Joralemon St
Fl 11
Brooklyn, NY 11201

9131 Queens Blvd
Ste 222
Elmhurst, NY 11373
Phone (718) 896-3400

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

16110 Jamaica Ave
Fl 2
Jamaica, NY 11432
Phone (718) 674-1000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1952766479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CHAUNCEY ST APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112332156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9729 64TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742259",
            "telephone_number": "718-896-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085626-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.