Individual provider Active NPI

Rosemary Diane Cabanillas, LCSW

  • Clinical Social Worker
  • Little Neck, NY
National Provider Identifier
1063655918
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082245-01 Issued in NY
Practice address
5440 Little Neck Pkwy Apt 5P
Little Neck, NY 11362-2208
Phone
(718) 757-6412
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0763551 NY
Clinical Social Worker 1041C0700X 082245-01 NY Primary

Addresses

Primary practice location

5440 Little Neck Pkwy Apt 5P
Little Neck, NY 11362-2208

Mailing address

5440 Little Neck Pkwy Apt 5P
Little Neck, NY 11362-2208
Phone (718) 757-6412

Other practice location 1

4337 Broadway
New York, NY 10033-2411
Phone (212) 544-5040

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0763551NYMDClinical Social Worker
082245-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
Karat Health, Inc. Past Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1063655918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 LITTLE NECK PKWY APT 5P",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622208",
            "telephone_number": "718-757-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 LITTLE NECK PKWY APT 5P",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622208",
            "telephone_number": "718-757-6412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4337 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100332411",
            "country_code": "US",
            "telephone_number": "212-544-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABANILLAS",
        "first_name": "ROSEMARY",
        "middle_name": "DIANE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0763551",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082245-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.