Miriam Cusicanqui, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080242-1 Issued in NY

Practice address

9004 161St St
5TH Floor
Jamaica, NY 11432-6141

Phone

(718) 523-2123

Fax

(718) 523-5833

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1326454943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 161ST ST",
            "address_2": "5TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326141",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSICANQUI",
        "first_name": "MIRIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080242-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Kathryn Cunneen-Power, LMSW
• Isabel Cunningham, M.D.
• Cure Crafter RX 2 Inc.
• Curecrafter RX Inc
• Fiona Curney
• CVS Albany LLC (CVS Pharmacy# 02718)
• CVS Albany LLC (CVS Pharmacy # 03621)
• Tahneen Moonema Cynthia, RPH
• D-Alef Multiservice, Inc
• D.E.T. Medical P.C.

• Clinical Social Worker in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.