Active NPI
Cassandra Warren
- Social Worker
- Staten Island, NY
National Provider Identifier
1548837677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112507-01
- Practice address
- 174 John St
Staten Island, NY 10302-1136 - Phone
- (212) 470-5806
- NPI assigned
- Jun 8, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 112507-01 | NY | Primary |
Addresses
Primary practice location
174 John St
Staten Island, NY 10302-1136
Mailing address
174 John St
Staten Island, NY 10302-1136
Phone (212) 470-5806
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112507-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1548837677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 JOHN ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021136",
"telephone_number": "212-470-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 JOHN ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021136",
"telephone_number": "212-470-5806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "CASSANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "112507-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.