Organization Active NPI

Cornerstone Social Services, Inc

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1578077301
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070833 Issued in NY
Legal business name
CORNERSTONE SOCIAL SERVICES, INC
Practice address
384 E 149TH St Ste 526
Bronx, NY 10455-3908
Phone
(914) 434-2078
Fax
(914) 434-2078
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Dr. Festus AgbonlahorNPI 1861797896
Title
Ceo
Phone
(914) 434-2078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 070833 NY Primary

Addresses

Primary practice location

384 E 149TH St Ste 526
Bronx, NY 10455-3908

Mailing address

2456 Bronx Park E Apt 3
Bronx, NY 10467-7502
Phone (914) 434-2078

Other identifiers 1

IdentifierTypeStateIssuer
1861797896OtherNYNPPES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1578077301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 BRONX PARK E APT 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677502",
            "telephone_number": "914-434-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E 149TH ST STE 526",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553908",
            "telephone_number": "914-434-2078",
            "fax_number": "914-434-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SOCIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "AGBONLAHOR",
        "authorized_official_first_name": "FESTUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-434-2078",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1861797896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.