Individual provider Active NPI

Miriam A Cidoni, MSW, LCSW

  • Clinical Social Worker
  • Commack, NY
National Provider Identifier
1548335078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R 030965 Issued in NY
Practice address
35 Crooked Hill Rd # 10
Commack, NY 11725-5415
Phone
(631) 848-5502
NPI assigned
Nov 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R 030965 NY Primary

Addresses

Primary practice location

35 Crooked Hill Rd # 10
Commack, NY 11725-5415

Mailing address

243 Feller Dr
Central Islip, NY 11722-1213
Phone (631) 232-3720

Other identifiers 2

IdentifierTypeStateIssuer
146227OtherNYVALUE OPTIONS PROVIDER#
7400486-002OtherNYGHI PROVIDER NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548335078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 FELLER DR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117221213",
            "telephone_number": "631-232-3720",
            "fax_number": "631-232-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CROOKED HILL RD # 10",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255415",
            "telephone_number": "631-848-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIDONI",
        "first_name": "MIRIAM",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R 030965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS  PROVIDER#",
            "identifier": "146227",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "7400486-002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.