Individual provider Active NPI

Cidalia Luis-Conticello, LCSWR

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1215085931
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R053743 Issued in NY
Practice address
705 Bronx River Rd
Suite #204
Yonkers, NY 10704-1720
Phone
(914) 237-6089
Fax
(914) 237-6099
NPI assigned
Jan 8, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R053743 NY Primary

Addresses

Primary practice location

705 Bronx River Rd
Suite #204
Yonkers, NY 10704-1720

Mailing address

1465 Washington St
Cortlandt Manor, NY 10567-6348
Phone (914) 237-6089

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

LicenseStateTypeSpecialty
R053743NYMDClinical Social Worker
053743NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Jewish Community Services Inc. PastSince Apr 6, 2023 Accepting new patients
Westchester Jewish Community Services Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1215085931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 WASHINGTON ST",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105676348",
            "telephone_number": "914-237-6089",
            "fax_number": "914-237-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BRONX RIVER RD",
            "address_2": "SUITE #204",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041720",
            "telephone_number": "914-237-6089",
            "fax_number": "914-237-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS-CONTICELLO",
        "first_name": "CIDALIA",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.