Active NPI
Mildred Cadicamo, MSW; LCSW
- Clinical Social Worker
- Pomona, NY
National Provider Identifier
1376719393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R047230-1
- Practice address
- 26 Firemans Memorial Dr
Pomona, NY 10970-3553 - Phone
- (845) 369-7762
- NPI assigned
- Apr 30, 2008
- Last updated
- Apr 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R047230-1 | NY | Primary |
Addresses
Primary practice location
26 Firemans Memorial Dr
Pomona, NY 10970-3553
Mailing address
23 Victory Rd
Suffern, NY 10901-3717
Phone (845) 369-7762
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3293238 | Other | NY | AETNA |
| 274887000 | Other | NY | MEGELLAN HEALTH SER VICES |
| 7427108 | Other | NY | AETNA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R047230-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Bleiwas CSW, PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Harbor Crest Comprehensive Counseling Group
- Clinical Social Worker
- New City, NY
- NPI 1932212628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1376719393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 VICTORY RD",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109013717",
"telephone_number": "845-369-7762",
"fax_number": "845-357-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 FIREMANS MEMORIAL DR",
"city": "POMONA",
"state": "NY",
"postal_code": "109703553",
"telephone_number": "845-369-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADICAMO",
"first_name": "MILDRED",
"name_prefix": "Ms.",
"credential": "MSW; LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R047230-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3293238",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEGELLAN HEALTH SER VICES",
"identifier": "274887000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7427108",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.