Active NPI
Nelida Iris Arce-Negron, LCSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1598803181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080109
- Practice address
- 4422 3Rd Ave
Bronx, NY 10457-2545 - Phone
- (718) 960-6507
- NPI assigned
- Feb 3, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 080109 | NY | Primary |
Addresses
Primary practice location
4422 3Rd Ave
Bronx, NY 10457-2545
Mailing address
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548367873 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080109 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
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": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1598803181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "718-960-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "718-960-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCE-NEGRON",
"first_name": "NELIDA",
"middle_name": "IRIS",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548367873",
"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 Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.