Giovanni Huaccamayta-Jauregui
Social Worker, Clinical in Forest Hills, NY. Individual provider (NPI-1).
NPI number1669960266
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1669960266
- Entity type
- Individual (NPI-1)
- Name
- Giovanni Huaccamayta-Jauregui
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2018
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 093339 | NY | Yes |
Practice location
10470 Queens Blvd Fl 2Forest Hills, NY 11375-3638
Phone 718-275-6010
Mailing address
10470 Queens Blvd Fl 2Forest Hills, NY 11375-3638
Phone 718-275-6010
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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