Gustavo Anibal Checa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RO48508-1 Issued in NY

Practice address

630 W 170TH St
Apt 1H
New York, NY 10032-3512

Phone

(646) 418-4346

NPI assigned

Jan 27, 2009

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jbfcs

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1427273846
  NPD (past)
• Jewish Board of Family and Children'S Services, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1760173579

  Clinical

  NPD (past)
• Service Program for Older People

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1831644657
  NPD (past)
• Service Program for Older People, Inc

  • Geriatric Psychiatry Physician
  • New York, NY
  • NPI 1740211143
  NPD (past)

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1003054271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 170TH ST",
            "address_2": "APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323512",
            "telephone_number": "646-418-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 170TH ST",
            "address_2": "APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323512",
            "telephone_number": "646-418-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECA",
        "first_name": "GUSTAVO",
        "middle_name": "ANIBAL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO48508-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Cheatham, OTR/L
• Monique Cheatham
• Katherine Chebly
• Esha Chebolu, MD
• Maria Socorro Checa-Rosen
• Rodelio Checa, RN, ANP/GNP
• Yi Checchio
• Brian William Chech, DPT
• Deborah Leishman Checketts, LMSW
• Laura Checkoway, PA-C

• 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 Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.