Anthony Joseph Canonico Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095781 Issued in NY

Practice address

1 Park PL Ste 200
Peekskill, NY 10566-3891

Phone

(914) 761-0600

Fax

(914) 761-5367

NPI assigned

Feb 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Westchester Jewish Community Services Inc.

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1457381196
  NPD
• Westchester Jewish Community Services Inc.

  • Community/Behavioral Health Agency
  • Peekskill, NY
  • NPI 1831887926
  NPD

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1174947360",
    "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": "106032427",
            "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": "1 PARK PL STE 200",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663891",
            "telephone_number": "914-761-0600",
            "fax_number": "914-761-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANONICO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Buryakov, LMSW
• Karen Buttacavoli, LMSW
• Edwin Calero, CASAC
• Donald M Campbell, RPH
• Sakinah Campbell
• Christopher Manuel Carames, PHARM.D
• Kelley Rae Carbone, NP
• Anastasia A Cargill, LPN
• Ethan Carilli, LMSW, CASAC-T
• Mary M Carpentieri, RN

• Clinical Social Worker in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.