Active NPI
Citlalicue Denise Herrera, LCSW
- Clinical Social Worker
- Peekskill, NY
National Provider Identifier
1164057824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 096642
- Practice address
- 1101 Main St
Peekskill, NY 10566-2907 - Phone
- (914) 737-7338
- Fax
- (914) 737-1050
- NPI assigned
- Mar 3, 2020
- 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 | 096642 | NY | Primary |
Addresses
Primary practice location
1101 Main St
Peekskill, NY 10566-2907
Mailing address
845 N Broadway
White Plains, NY 10603-2403
Phone (914) 761-0600
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 |
|---|---|---|---|
| 096642 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Jewish Community Services Inc. | Current | Accepting new patients |
Locations
1101 Main St
Peekskill, NY 10566
Phone 914737733815
845 N Broadway
White Plains, NY 10603
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.
-
- Community/Behavioral Health Agency
- Peekskill, NY
- NPI 1831887926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1164057824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 N BROADWAY",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106032403",
"telephone_number": "914-761-0600",
"fax_number": "914-761-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MAIN ST",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662907",
"telephone_number": "914-737-7338",
"fax_number": "914-737-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "CITLALICUE",
"middle_name": "DENISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-03",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "096642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.