Individual provider Active NPI

Cheryl Alter, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1104401124
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111001 Issued in NY
Practice address
953 Southern Blvd RM 301
Bronx, NY 10459-3428
Phone
(718) 860-2994
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111001 NY Primary

Addresses

Primary practice location

953 Southern Blvd RM 301
Bronx, NY 10459-3428

Mailing address

319 E 53Rd St Apt 6C
New York, NY 10022-4908
Phone (732) 713-9751

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

LicenseStateTypeSpecialty
111001NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey House, Inc CurrentSince Jan 19, 2025 Accepting new patients
Odyssey House, Inc. PastSince Mar 16, 2021 Accepting new patients

Locations

953 Southern Blvd
Rm 301
Bronx, NY 10459
Phone (212) 361-1619

Organizations & group practices 2

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1104401124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E 53RD ST APT 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224908",
            "telephone_number": "732-713-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD RM 301",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "718-860-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTER",
        "first_name": "CHERYL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "111001",
            "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 Oct 16, 2024; 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.