Individual provider Active NPI

Monica Marietta Carrington, CSW

  • Social Worker
  • Rosedale, NY
National Provider Identifier
1356578694
Registry record updated Jun 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6359111 Issued in NY
Practice address
23312 Mentone Ave
Rosedale, NY 11422-1912
Phone
(718) 528-5147
NPI assigned
Jun 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6359111 NY Primary

Addresses

Primary practice location

23312 Mentone Ave
Rosedale, NY 11422-1912

Mailing address

23312 Mentone Ave
Rosedale, NY 11422-1912
Phone (718) 528-5147

Other identifiers 1

IdentifierTypeStateIssuer
6359111OtherNYTHE UNIVERSITY OF THE STATE OF NY EDUCATION DEPT. OFFICE OF PROFESSIONS

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

LicenseStateTypeSpecialty
6359111NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244851200000",
    "number": "1356578694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23312 MENTONE AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221912",
            "telephone_number": "718-528-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23312 MENTONE AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221912",
            "telephone_number": "718-528-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINGTON",
        "first_name": "MONICA",
        "middle_name": "MARIETTA",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-13",
        "last_updated": "2009-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "6359111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NY EDUCATION DEPT. OFFICE OF PROFESSIONS",
            "identifier": "6359111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2009; 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.