Active NPI
Cynthia I Davis, LCSW-R, CASAC
- Clinical Social Worker
- New Hartford, NY
National Provider Identifier
1184703548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R052659-1
- Practice address
- 1 Ellinwood CT
New Hartford, NY 13413-1100 - Phone
- (315) 736-1231
- Fax
- (315) 736-1202
- NPI assigned
- Nov 4, 2006
- 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 | R052659-1 | NY | Primary |
Addresses
Primary practice location
1 Ellinwood CT
New Hartford, NY 13413-1100
Mailing address
1 Ellinwood CT
New Hartford, NY 13413-1100
Phone (315) 736-1231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 20, 2019 through Jul 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R052659-1 | NY | MD | Clinical Social Worker |
| 052659 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184703548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELLINWOOD CT",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131100",
"telephone_number": "315-736-1231",
"fax_number": "315-736-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELLINWOOD CT",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131100",
"telephone_number": "315-736-1231",
"fax_number": "315-736-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CYNTHIA",
"middle_name": "I",
"credential": "LCSW-R, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R052659-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
- Marie Dardano, ATC
- Chelsea Lea Darrow, MS, OTR/L
- David Oconnor Nurse Practitioner in Psychiatry PLLC (David O'Connor, Psychiatry)
- Marjorie Grace David, PA-C
- Paul Gregory Davidson, MD
- Elaine M. Davis, NURSE PRACTITIONER
- Kathleen Davis, NP
- Barbara M Deblois, NP
- Robert L Decarlo, MD
- Teresa M. Decker, LCSW-R
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.