Active NPI
Cynthia May Chase, LCSW, MS
- Clinical Social Worker
- Yonkers, NY
National Provider Identifier
1043335805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000842
- Practice address
- 1 Abbey PL
Yonkers, NY 10701-1715 - Phone
- (860) 395-0284
- Fax
- (914) 410-3472
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000842 | CT | Primary |
Addresses
Primary practice location
1 Abbey PL
Yonkers, NY 10701-1715
Mailing address
1 Abbey PL
Yonkers, NY 10701-1715
Phone (860) 395-0284
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004195170 | Medicaid | CT | |
| 140000842CT03 | Other | CT | ANTHEM |
| 4195170 | Other | CO | CT MEDICAL ASSISTANCE PRO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050623000455 | CT | Practitioner - Clinical Social Worker | 1658316294 | Practice locations: Old Saybrook, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000842 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1043335805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ABBEY PL",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011715",
"telephone_number": "860-395-0284",
"fax_number": "914-410-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ABBEY PL",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011715",
"telephone_number": "860-395-0284",
"fax_number": "914-410-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "CYNTHIA",
"middle_name": "MAY",
"name_prefix": "Ms.",
"credential": "LCSW, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "000842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004195170",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "140000842CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT MEDICAL ASSISTANCE PRO",
"identifier": "4195170",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.