Individual provider Active NPI

Cynthia Dunn, LCSW

  • Clinical Social Worker
  • Rye Brook, NY
National Provider Identifier
1134411911
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081733-1 Issued in NY
Practice address
7 Rye Ridge PLZ # 316
Rye Brook, NY 10573-2822
Phone
(914) 508-6286
Fax
(516) 307-0851
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 0816901 NY
Clinical Social Worker 1041C0700X 081733-1 NY Primary

Addresses

Primary practice location

7 Rye Ridge PLZ # 316
Rye Brook, NY 10573-2822

Mailing address

7 Rye Ridge PLZ # 316
Rye Brook, NY 10573-2822
Phone (914) 508-6286

Other practice location 1

265 Sunrise Hwy Ste 1-518
Rockville Centre, NY 11570-4912
Phone (516) 307-0850

Other identifiers 1

IdentifierTypeStateIssuer
03544378MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150513000148 NY Practitioner - Clinical Social Worker 9739409822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7 Rye Ridge PLZ
Suite 316
Rye Brook, NY 10573-2822
Phone (914) 508-6286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0816901NYMDClinical Social Worker
081733NYMDClinical Social Worker
081733-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1134411911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RYE RIDGE PLZ # 316",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732822",
            "telephone_number": "914-508-6286",
            "fax_number": "516-307-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RYE RIDGE PLZ # 316",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732822",
            "telephone_number": "914-508-6286",
            "fax_number": "516-307-0851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Sunrise Hwy Ste 1-518",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115704912",
            "country_code": "US",
            "telephone_number": "516-307-0850",
            "fax_number": "516-307-0851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0816901",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081733-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03544378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.