Active NPI
Cynthia Kannan, LCSW
- Social Worker
- New Hyde Park, NY
National Provider Identifier
1316551138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 099972
- Practice address
- 168 Gerard Ave
New Hyde Park, NY 11040-1733 - Phone
- (516) 784-9099
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 099972 | NY | Primary |
Addresses
Primary practice location
168 Gerard Ave
New Hyde Park, NY 11040-1733
Mailing address
168 Gerard Ave
New Hyde Park, NY 11040-1733
Phone (516) 784-9099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099972 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1316551138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 GERARD AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401733",
"telephone_number": "516-784-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 GERARD AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401733",
"telephone_number": "516-784-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNAN",
"first_name": "CYNTHIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "099972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.