Individual provider Active NPI

Nakesha Clarke, LMSW

  • Social Worker
  • Jamaica, NY
National Provider Identifier
1982020558
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
089873 Issued in NY
Practice address
9025 161St St
3Rd Floor
Jamaica, NY 11432-6142
Phone
(718) 262-1225
Fax
(718) 262-1228
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 089873 NY Primary

Addresses

Primary practice location

9025 161St St
3Rd Floor
Jamaica, NY 11432-6142

Mailing address

9025 161St St
3Rd Floor
Jamaica, NY 11432-6142
Phone (718) 262-1225

Other names 1

  • Nakesha Nash Former name

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

LicenseStateTypeSpecialty
089873NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1982020558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 161ST ST",
            "address_2": "3RD FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326142",
            "telephone_number": "718-262-1225",
            "fax_number": "718-262-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 161ST ST",
            "address_2": "3RD FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326142",
            "telephone_number": "718-262-1225",
            "fax_number": "718-262-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "NAKESHA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAKESHA",
            "last_name": "NASH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.