Active NPI
Carol Marie Bandini, LCSW
- Social Worker
- New York, NY
National Provider Identifier
1639320211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 043904
- Practice address
- 109 E 19TH St
New York, NY 10003-9603 - Phone
- (212) 505-6389
- Fax
- (201) 332-8424
- NPI assigned
- Oct 1, 2008
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 043904 | NY | Primary |
Addresses
Primary practice location
109 E 19TH St
New York, NY 10003-9603
Mailing address
109 E 19TH St
New York, NY 10003-9603
Phone (212) 505-6389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 30, 2015 through Jun 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043904 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1639320211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E 19TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100039603",
"telephone_number": "212-505-6389",
"fax_number": "201-332-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E 19TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100039603",
"telephone_number": "212-505-6389",
"fax_number": "201-332-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDINI",
"first_name": "CAROL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "043904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.