Active NPI
Annalisa R. Cusi, LMSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1073700779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 073906-1
- Practice address
- 2432 Grand Concourse
Suite 505
Bronx, NY 10458-5204 - Phone
- (718) 364-9700
- NPI assigned
- Sep 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 073906-1 | NY | Primary |
Addresses
Primary practice location
2432 Grand Concourse
Suite 505
Bronx, NY 10458-5204
Mailing address
2432 Grand Concourse
Suite 505
Bronx, NY 10458
Phone (718) 364-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00245029 | Medicaid | NY |
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 |
|---|---|---|---|
| 073906-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1073700779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 GRAND CONCOURSE",
"address_2": "SUITE 505",
"city": "BRONX",
"state": "NY",
"postal_code": "10458",
"telephone_number": "718-364-9700",
"fax_number": "718-365-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 GRAND CONCOURSE",
"address_2": "SUITE 505",
"city": "BRONX",
"state": "NY",
"postal_code": "104585204",
"telephone_number": "718-364-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSI",
"first_name": "ANNALISA",
"middle_name": "R.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "073906-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00245029",
"state": "NY"
}
],
"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 Aug 6, 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.