Active NPI
Cassie Marie Enea, LMSW
- Social Worker
- Staten Island, NY
National Provider Identifier
1619354677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091057
- Practice address
- 710 Forest Ave
Staten Island, NY 10310-2520 - Phone
- (347) 464-5550
- NPI assigned
- Apr 29, 2015
- Last updated
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 091057 | NY | Primary |
Addresses
Primary practice location
710 Forest Ave
Staten Island, NY 10310-2520
Mailing address
710 Forest Ave
Staten Island, NY 10310-2520
Phone (718) 273-8409
Other practice location 1
160 Melvin Avenue
Staten Island, NY 10314
Phone (718) 273-8409
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": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1619354677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103102520",
"telephone_number": "718-273-8409",
"fax_number": "718-273-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103102520",
"telephone_number": "347-464-5550"
}
],
"practiceLocations": [
{
"address_1": "160 Melvin Avenue",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "10314",
"country_code": "US",
"telephone_number": "718-273-8409",
"fax_number": "718-273-5265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENEA",
"first_name": "CASSIE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091057",
"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 Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.