Active NPI
Cynthia Restrepo
- Clinical Social Worker
- Elmhurst, NY
National Provider Identifier
1295136182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091195-01
- Practice address
- 8114 Queens Blvd
Elmhurst, NY 11373-3789 - Phone
- (718) 899-9810
- NPI assigned
- Sep 10, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 102583-1 | NY | |
| Clinical Social Worker | 1041C0700X | 091195-01 | NY | Primary |
Addresses
Primary practice location
8114 Queens Blvd
Elmhurst, NY 11373-3789
Mailing address
8114 Queens Blvd
Elmhurst, NY 11373-3789
Phone (718) 899-9810
Other practice location 1
6002 Roosevelt Ave
Woodside, NY 11377-3538
Phone (718) 943-2800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14015 Sanford Ave
Suite B
Flushing, NY 11355-2688
Phone (718) 358-8288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102583-1 | NY | MD | Social Worker |
| 091195-01 | NY | MD | Clinical Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Forest Hills, NY
- NPI 1649329806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1295136182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8114 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733789",
"telephone_number": "718-899-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8114 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733789",
"telephone_number": "718-899-9810"
}
],
"practiceLocations": [
{
"address_1": "6002 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "Woodside",
"state": "NY",
"postal_code": "113773538",
"country_code": "US",
"telephone_number": "718-943-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESTREPO",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "102583-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091195-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.