Active NPIIndividual provider

Alfy Jimenez Sr., LCSW

Social Worker, Clinical in Woodside, New York

NPI Number1316441314
Practice location
6120 Woodside Ave, Woodside, NY 11377-3577
Fax
—
Last updated
March 2, 2021

Alfy Jimenez is a Social Worker, Clinical based in Woodside, NY. Alfy Jimenez practices in Woodside, NY and has the professional credentials of LCSW. The NPI Number for Alfy Jimenez is 1316441314 and holds a License No. 102532 (NY). The current practice location address for Alfy Jimenez is 6120 Woodside Ave, Woodside, NY 11377-3577 and can be reached out via phone at 718-672-7678.

Provider Profile Details

NPI Number
1316441314
Provider Name
Alfy Jimenez
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
6120 Woodside Ave, Woodside, NY 11377-3577
Phone Number
718-672-7678
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2018
Last Update Date
March 2, 2021
Certification Date
March 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
6120 Woodside Ave
Woodside, NY 11377-3577
Zip
11377-3577
Phone Number
718-672-7678
Woodside, NY 11377Get directions →

Provider Business Mailing Address Details

Address
99 Bedford Ave
Bergenfield, NJ 07621-2044
City
Bergenfield
State
NJ
Zip
07621-2044
Phone Number
201-374-1750

License Information

License Number (1)
102532
License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
090787
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary
License Number (3)
44SL06401700
License State (3)
NJ
Taxonomy (3)
Social Worker · 104100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alfy Jimenez Sr., LCSW?

The NPI number of Alfy Jimenez Sr., LCSW is 1316441314. It was assigned on March 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Alfy Jimenez Sr., LCSW?

Alfy Jimenez Sr., LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 102532.

Where does Alfy Jimenez Sr., LCSW practice?

The practice location is 6120 Woodside Ave, Woodside, NY 11377-3577. The office can be reached at 718-672-7678 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316441314 directly on the NPPES registry website.

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