Individual provider Active NPI

Cassandra Rankine, LCSW

  • Social Worker
  • Jamaica, NY
National Provider Identifier
1215297726
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
084793 Issued in NY
Practice address
11019 155TH St
Jamaica, NY 11433-3617
Phone
(917) 669-4297
Fax
(866) 617-7394
NPI assigned
May 18, 2012
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084793 NY Primary

Addresses

Primary practice location

11019 155TH St
Jamaica, NY 11433-3617

Mailing address

11019 155TH St
Jamaica, NY 11433-3617
Phone (917) 669-4297

Other identifiers 3

IdentifierTypeStateIssuer
NBDA71OtherNYBLUECROSS BLUESHIELD
084793OtherNYLICENSE
03545631MedicaidNY

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
I20170811002381 NY Practitioner - Clinical Social Worker 4789955519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

11019 155TH St
Jamaica, NY 11433-3617

11129 Queens Blvd
Forest Hills, NY 11375-5553
Phone (718) 275-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084793NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rankines Psychotherapy Counseling Services LCSW PLLC CurrentSince Nov 10, 2020 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Aleandre Da Silva Past Accepting new patients

Locations

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

Networks

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

Organizations & group practices 4

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1215297726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 155TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333617",
            "telephone_number": "917-669-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 155TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333617",
            "telephone_number": "917-669-4297",
            "fax_number": "866-617-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKINE",
        "first_name": "CASSANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "NBDA71",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "084793",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03545631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.