Active NPI
Andrea Joy Cimino, LMSW
- Clinical Social Worker
- Hawthorne, NY
National Provider Identifier
1225600901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 098317
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 098317 | NY | MD | Clinical 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.