Individual provider Active NPI

Erica J Nadell, L.M.S.W.

  • Case Manager/Care Coordinator
  • Yonkers, NY
National Provider Identifier
1609189331
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1 Executive Blvd
1St Floor
Yonkers, NY 10701-6822
Phone
(914) 375-7647
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 067880 NY
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1 Executive Blvd
1St Floor
Yonkers, NY 10701-6822

Mailing address

1 Executive Blvd
1St Floor
Yonkers, NY 10701-6822
Phone (914) 375-7647

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

LicenseStateTypeSpecialty
067880NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Extraordinary Home Care 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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322179200000",
    "number": "1609189331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD",
            "address_2": "1ST FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016822",
            "telephone_number": "914-375-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE BLVD",
            "address_2": "1ST FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016822",
            "telephone_number": "914-375-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADELL",
        "first_name": "ERICA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2011-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "067880",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.