Active NPI
Anna Borrero-Perry, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1063673937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R024086
- Practice address
- 280 Madison Ave
Suite 610
New York, NY 10016-0801 - Phone
- (212) 725-3398
- Fax
- (212) 868-3331
- NPI assigned
- May 19, 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 | R024086 | NY | Primary |
Addresses
Primary practice location
280 Madison Ave
Suite 610
New York, NY 10016-0801
Mailing address
280 Madison Ave
Suite 610
New York, NY 10016-0801
Phone (212) 725-3398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3641098 | Other | NY | OXFORD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R024086 | NY | MD | Clinical Social Worker |
| 024086 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1063673937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MADISON AVE",
"address_2": "SUITE 610",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160801",
"telephone_number": "212-725-3398",
"fax_number": "212-868-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MADISON AVE",
"address_2": "SUITE 610",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160801",
"telephone_number": "212-725-3398",
"fax_number": "212-868-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORRERO-PERRY",
"first_name": "ANNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-19",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R024086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3641098",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.