Individual provider Active NPI

Jennifer Payne Cardamone, LMSW

  • School Social Worker
  • Albany, NY
National Provider Identifier
1477057024
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
090007 Issued in NY
Practice address
50 Lark St
Albany, NY 12210-1518
Phone
(518) 475-6619
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 090007 NY Primary

Addresses

Primary practice location

50 Lark St
Albany, NY 12210-1518

Mailing address

50 North Lark Street
Albany, NY 12210
Phone (518) 475-6619

Other identifiers 2

IdentifierTypeStateIssuer
090007OtherNYLMSW
1418665OtherNYPUBLIC SCHOOL TEACHER CERT.

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
I20231216000104 NY Practitioner - Clinical Social Worker 0547619546 Practice locations: Delmar, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090007NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Commonsense Wellness Network 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1477057024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NORTH LARK STREET",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12210",
            "telephone_number": "518-475-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LARK ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122101518",
            "telephone_number": "518-475-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDAMONE",
        "first_name": "JENNIFER",
        "middle_name": "PAYNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "090007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "090007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC SCHOOL TEACHER CERT.",
            "identifier": "1418665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.