Individual provider Active NPI

Cheryl Lisa Kasper-Derosa, LMSW

  • Clinical Social Worker
  • North Bellmore, NY
National Provider Identifier
1255479465
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
049137 Issued in NY
Practice address
911 Grant PL
North Bellmore, NY 11710
Phone
(516) 221-0413
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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 049137 NY Primary

Addresses

Primary practice location

911 Grant PL
North Bellmore, NY 11710

Mailing address

911 Grant PL
North Bellmore, NY 11710-1012
Phone (516) 221-0413

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1255479465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 GRANT PL",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101012",
            "telephone_number": "516-221-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 GRANT PL",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "11710",
            "telephone_number": "516-221-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPER-DEROSA",
        "first_name": "CHERYL",
        "middle_name": "LISA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "049137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.