Active NPI
Samuel Asumadu, LMSW, CASAC, ICADC
- Social Worker
- Bronx, NY
National Provider Identifier
1366726606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092505
- Practice address
- 2211 Ellis Avenue
RM. 46
Bronx, NY 10462-5105 - Phone
- (347) 621-1334
- NPI assigned
- Oct 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12764 | NY | |
| Social Worker | 104100000X | 092505 | NY | Primary |
Addresses
Primary practice location
2211 Ellis Avenue
RM. 46
Bronx, NY 10462-5105
Mailing address
2211 Ellis Ave
Bronx, NY 10462-5105
Phone (718) 621-1334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12764 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1366726606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 ELLIS AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104625105",
"telephone_number": "718-621-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 ELLIS AVENUE",
"address_2": "RM. 46",
"city": "BRONX",
"state": "NY",
"postal_code": "104625105",
"telephone_number": "347-621-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASUMADU",
"first_name": "SAMUEL",
"credential": "LMSW, CASAC, ICADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-05",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "12764",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.