Active NPI
Sooknam Choo, LCSW
- Clinical Social Worker
- Jackson Heights, NY
National Provider Identifier
1972689602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079219-1
- Practice address
- 7814 Roosevelt Ave
204
Jackson Heights, NY 11372-6626 - Phone
- (718) 899-8918
- Fax
- (718) 426-2219
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079219-1 | NY | Primary |
Addresses
Primary practice location
7814 Roosevelt Ave
204
Jackson Heights, NY 11372-6626
Mailing address
253 South St
New York, NY 10002-7827
Phone (212) 720-4564
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
| License | State | Type | Specialty |
|---|---|---|---|
| 079219 | NY | MD | Social Worker |
| 079219-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Psychassociates LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- New York, NY
- NPI 1124051925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1972689602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 SOUTH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100027827",
"telephone_number": "212-720-4564",
"fax_number": "212-732-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7814 ROOSEVELT AVE",
"address_2": "204",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726626",
"telephone_number": "718-899-8918",
"fax_number": "718-426-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOO",
"first_name": "SOOKNAM",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079219-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.