Charles Cucchiara, M.DIV.,L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071612 Issued in NY

Practice address

80 E 11TH St
Suite 312
New York, NY 10003-6811

Phone

(212) 979-6445

Fax

(212) 979-6445

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003034620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E 11TH ST",
            "address_2": "SUITE 312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036811",
            "telephone_number": "212-979-6445",
            "fax_number": "212-979-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E 11TH ST",
            "address_2": "SUITE 312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036811",
            "telephone_number": "212-979-6445",
            "fax_number": "212-979-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCCHIARA",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.DIV.,L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ely Gabriela Cuberos Paredes
• Kenneth H Cubert, MD
• Kristina Cubrilo Santos, L.AC.
• Herolinda Cuca
• Nexhip Cuca, OTR/L
• Joseph Cucci, D.C.
• Sophia Cuccia
• Carmela Cuccurullo, AGPCNP-BC
• Agnieszka Cucovic, NP
• Ofer Cucs

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.