Individual provider Active NPI

Danielle Jean Spector

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1356630396
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083310 Issued in NY
Practice address
55 Westchester SQ
Bronx, NY 10461-3525
Phone
(718) 931-4045
Fax
(718) 931-3718
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081376 NY
Clinical Social Worker 1041C0700X 083310 NY Primary

Addresses

Primary practice location

55 Westchester SQ
Bronx, NY 10461-3525

Mailing address

185 Bronx River Rd Apt T4
Yonkers, NY 10704-3751
Phone (914) 943-9072

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130001370 NY Practitioner - Clinical Social Worker 0143535492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083310NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Nov 16, 2016 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Nov 16, 2016 Accepting new patients
Jewish Board of Family and Children'S Services, Inc Past Accepting new patients

Locations

55 Westchester Sq
Bronx, NY 10461
Phone (718) 239-6149

750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1356630396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BRONX RIVER RD APT T4",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043751",
            "telephone_number": "914-943-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WESTCHESTER SQ",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613525",
            "telephone_number": "718-931-4045",
            "fax_number": "718-931-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "DANIELLE",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081376",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.