Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE BETH PENCHUK LCSW
NPI 1912530601
Social Worker in Queens Village, NY

Q: What is Nicole Penchuk's NPI number?

The NPI number for Nicole Penchuk is 1912530601. It was assigned to this individual provider in the NPPES registry on February 20, 2020. The provider is also known as Nicole Goldstein.

Q: What is Nicole Penchuk's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Penchuk was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2020

8009 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427(718) 740-4300 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 28, 2026, Aug 17, 2022, Feb 20, 2020 (3 updates tracked since 2020).

On this page

About Nicole Beth Penchuk Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BETH PENCHUK LCSW (NPI 1912530601) is an individual social worker in Queens Village, New York, licensed in New York (116136-01) and active in the NPI registry since February 2020. She maintains a secondary practice location in Middle Island.

NPPES Registry Identity

NPI1912530601

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameNICOLE BETH PENCHUKCredential: LCSW

Location Address8009 WINCHESTER BLVDQueens Village, NY 11427-2147

Mailing AddressPo Box 12Middle Island, NY 11953-0012

Phone(718) 740-4300

Sole ProprietorNo

Enumeration DateFebruary 20, 2020

Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1912530601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 116136-01

Definition

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.

8009 WINCHESTER BLVD, Queens Village, NY 11427

Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Goldstein

Secondary Practice Location 1

Location 1PO Box 12Middle Island, NY 11953-0012 · Phone (999) 999-9999

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFELINE CENTER FOR CHILD DEVELOPMENT

Case Manager/Care Coordinator