Neil J Cervera, LCSW, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR015087-1 Issued in NY

Practice address

902 Washington Ave
Albany, NY 12203-1716

Phone

(518) 458-8162

Fax

(518) 435-9436

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

New York University School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roman Catholic Diocese of Albany NyGroup PAC ID 3274433065, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Roman Catholic Diocese of Albany Ny

  • Clinical Psychologist
  • Albany, NY
  • NPI 1457421919

  NY

  Medicare reassignment Care Compare group
• Legacy LCSW Counseling Services PC

  • Clinical Social Worker
  • Clifton Park, NY
  • NPI 1396080339

  Clinical

  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104921790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031716",
            "telephone_number": "518-458-8162",
            "fax_number": "518-435-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031716",
            "telephone_number": "518-458-8162",
            "fax_number": "518-435-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVERA",
        "first_name": "NEIL",
        "middle_name": "J",
        "credential": "LCSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR015087-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01563386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Kathleen Cerny, PT, DPT
• Jennifer R Boden Cerone, MD
• Michelle Suzanne Cerone, FNP-BC
• Rosanna Cerone, RN
• Certified Allergy Consultants, PC
• Maria Cervini-Bekdes, MA-LMHC
• Alexandra Cervini, RD, RDN
• Kirsten K. Cestaro, MD
• John Cevera, MD
• Cfdshc, Inc

• All providers in Albany, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.