Cassandra David, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

106125 Issued in NY

Practice address

6120 Woodside Ave
Woodside, NY 11377-3577

Phone

(718) 672-1705

Fax

(718) 672-2027

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatry on Video LLCGroup PAC ID 6800269432, 6 clinicians

Premier Psychiatric Consultants, LLCGroup PAC ID 7315077120, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Psychiatric Consultants LLC

  • Adult Mental Health Clinic/Center
  • West New York, NJ
  • NPI 1508182072
  Medicare reassignment Care Compare group NPD
• Psychiatry on Video LLC

  • Psychiatry Physician
  • Ridgewood, NJ
  • NPI 1700532587
  Medicare reassignment Care Compare group NPD
• MCCD Psychiatry Services PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823
  Medicare reassignment NPD

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1629536610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W 150TH ST APT 3J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100312400",
            "telephone_number": "646-247-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WOODSIDE AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773577",
            "telephone_number": "718-672-1705",
            "fax_number": "718-672-2027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Broadway Rm 132",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100402102",
            "country_code": "US",
            "telephone_number": "212-567-3500 x2876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVID",
        "first_name": "CASSANDRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Can Khai Dang, PHARMD
• Elena Danginis
• Frazola Daniels
• Maryann Danosos, DDS
• Sampa Das I
• Frances Acosta De la Cruz, DDS
• Stephanie De Los Santos Perez
• Alfred Vincent De Rosa, MD
• Emma Deacon, RN
• Deanne H Lee

• Social Worker in Woodside, NY
• Providers in Woodside, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.