Individual provider Active NPI

Cynthia Gisela Ireland

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1437297371
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
058789 Issued in NY
Practice address
40 Montgomery Street
New York, NY 10002
Phone
(347) 226-1182
Fax
(212) 571-4132
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 058789 NY Primary

Addresses

Primary practice location

40 Montgomery Street
New York, NY 10002

Mailing address

193 Ocean Ave
Brooklyn, NY 11225-4701
Phone (347) 226-1182

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
I20050725000877 NY Practitioner - Clinical Social Worker 5294797312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Street SettlementGroup PAC ID 2567354756, 7 clinicians

Practice addresses (Care Compare)

40 Montgomery St
New York, NY 10002-4808
Phone (212) 233-5032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058789NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Street Settlement CurrentSince Apr 1, 2015 Accepting new patients
Park Slope Center for Mental Health, Inc PastSince Oct 11, 2005 Accepting new patients

Locations

40 Montgomery St
New York, NY 10002
Phone (212) 233-5032

Organizations & group practices 2

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1437297371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254701",
            "telephone_number": "347-226-1182",
            "fax_number": "212-571-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MONTGOMERY STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "347-226-1182",
            "fax_number": "212-571-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "CYNTHIA",
        "middle_name": "GISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "058789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.