DERRYCK NESBITT (NPI# 1518583400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518583400 |
| Entity Type | Individual |
| Full Name | DERRYCK NESBITT |
| Credential | LMSW |
| Practice Address |
7925 Winchester Blvd Queens Village NY 11427-2128 |
| Mailing Address |
1011 E 108th St Apt 1c Brooklyn NY 11236-3022 |
| Practice Telephone | 7182644088 |
| Mailing Telephone | 7189743043 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 109358 | NY | Behavioral Health & Social Service Providers |
| Street Address |
7925 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411724 | Raiyasari Bangaru | Psychiatry & Neurology | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2006-10-17 |
| 1093344624 | Amritha Mangalat | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-06 |
| 1619506490 | Jacob Gohari | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-03 |
| 1013546092 | Fairooz Abida | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1144859125 | Mary Camille Palisoc | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1750922092 | Diona Ceniza | Art Therapist | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-10-07 |
| 1164983763 | Anthony Chih Duong | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1306307988 | Adam Bernstein | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1336610286 | Russell Miravite | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-17 |
| 1700357688 | Nadine Christopher | Licensed Practical Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358517 | Jasmattie Sookram | Social Worker | 9324 210th St, Queens Village, NY 11428-1054 | 2019-10-28 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1457917338 | Latoya Coleman | Social Worker | 111-41 Colfax Street, Queens Village, NY 11429 | 2019-05-15 |
| 1952872327 | Ashley Cooley | Social Worker | 21841 99th Ave, Queens Village, NY 11429-1205 | 2018-12-11 |
| 1477021814 | Thaina Banatte | Social Worker | 21730 Hollis Ave, Queens Village, NY 11429-1951 | 2018-11-04 |
| 1114416559 | Princessa Gervais | Social Worker | 21232 113th Ave, Queens Village, NY 11429-2318 | 2018-05-01 |
| 1972016079 | Noptanyne Jean-pierre | Social Worker | 8911 Springfield Blvd, Queens Village, NY 11427-2513 | 2017-11-10 |
| 1629592621 | Katherine Cherry | Social Worker | 22312 Murdock Ave, Queens Village, NY 11429-2727 | 2017-08-01 |
| 1851822118 | Karis Lewis | Social Worker | 20626 Whitehall Ter, Queens Village, NY 11427-1721 | 2017-03-27 |
| 1538615877 | Melissa Glenn | Social Worker | 221-26 111th Ave, Queens Village, NY 11429 | 2016-08-28 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.