Individual provider Active NPI

Andrea Joy Cimino, LMSW

  • Clinical Social Worker
  • Hawthorne, NY
National Provider Identifier
1225600901
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098317 Issued in NY
Practice address
226 Linda Ave
Hawthorne, NY 10532-2018
Phone
(914) 773-7432
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 098317 NY Primary
Social Worker 104100000X 114829 NY

Addresses

Primary practice location

226 Linda Ave
Hawthorne, NY 10532-2018

Mailing address

1 Kennedy Ave Unit 2404
Danbury, CT 06810-5986
Phone (914) 826-4629

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ciminoa@jccany.org Health Information Exchange (HIE) JCCA THERAPY SERVICES, INC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
098317NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1225600901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENNEDY AVE UNIT 2404",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105986",
            "telephone_number": "914-826-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 LINDA AVE",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322018",
            "telephone_number": "914-773-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "ANDREA",
        "middle_name": "JOY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098317",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ciminoa@jccany.org",
            "affiliation": "Y",
            "endpointDescription": "Encrypted Email",
            "affiliationName": "JCCA THERAPY SERVICES, INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "226 Linda Ave",
            "city": "Hawthorne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105322018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.