Active NPI
Consulting Care LCSW, PLLC
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1366971004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CONSULTING CARE LCSW, PLLC
- Practice address
- 912 Pelham Pkwy S
Bronx, NY 10462-1102 - Phone
- (917) 708-9777
- Fax
- (866) 274-4236
- NPI assigned
- Jun 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose A Candelario-Carmona Jr., LCSW
- Title
- President
- Phone
- (917) 708-9777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
912 Pelham Pkwy S
Bronx, NY 10462-1102
Mailing address
PO Box 608
Bronx, NY 10456-0521
Phone (917) 708-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039590620 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2426 Eastchester Rd
Ste 201
Bronx, NY 10469
Phone (718) 865-8733
912 Pelham Pkwy S
Bronx, NY 10462
Phone (914) 273-3558
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bronx, NY
- NPI 1811202096
-
- Dermatology Physician
- White Plains, NY
- NPI 1487654596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496793600000",
"number": "1366971004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 608",
"city": "BRONX",
"state": "NY",
"postal_code": "104560521",
"telephone_number": "917-708-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104621102",
"telephone_number": "917-708-9777",
"fax_number": "866-274-4236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSULTING CARE LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-07",
"last_updated": "2017-06-07",
"status": "A",
"authorized_official_last_name": "CANDELARIO-CARMONA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-708-9777",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039590620",
"state": "NY"
}
],
"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 Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.