Active NPI
Dennise Ewen, CASAC; LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1033357959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72089242
- Practice address
- 3368 Baychester Ave # 2
Bronx, NY 10475-1514 - Phone
- (347) 847-2161
- NPI assigned
- Jan 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18012 | NY | |
| Social Worker | 104100000X | 72089242 | NY | Primary |
Addresses
Primary practice location
3368 Baychester Ave # 2
Bronx, NY 10475-1514
Mailing address
3368 Baychester Ave # 2
Bronx, NY 10475-1514
Phone (347) 847-2161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18012 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 72089242 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1033357959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3368 BAYCHESTER AVE # 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104751514",
"telephone_number": "347-847-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3368 BAYCHESTER AVE # 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104751514",
"telephone_number": "347-847-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWEN",
"first_name": "DENNISE",
"name_prefix": "Mrs.",
"credential": "CASAC; LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "18012",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72089242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.