Individual provider Active NPI

Rhianne K. Larson, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1659617470
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073445 Issued in NY
Practice address
226 W 242ND St
Apt 4C
Bronx, NY 10471-4012
Phone
(917) 912-2096
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073445 NY Primary

Addresses

Primary practice location

226 W 242ND St
Apt 4C
Bronx, NY 10471-4012

Mailing address

248 West 108TH Street
The Bridge, Inc.
New York, NY 10025
Phone (212) 663-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141216001682 NY Practitioner - Clinical Social Worker 0042533481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Bridge, Inc.Group PAC ID 3476576273, 11 clinicians

Practice addresses (Care Compare)

248 W 108TH St
New York, NY 10025-2956
Phone (212) 663-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073445NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge, Inc. CurrentSince Jan 1, 2014 Accepting new patients

Locations

290 Lenox Ave
Fl 3
New York, NY 10027
Phone (870) 476-6003

248 W 108th St
New York, NY 10025
Phone (212) 663-3001

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1659617470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 WEST 108TH STREET",
            "address_2": "THE BRIDGE, INC.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-663-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W 242ND ST",
            "address_2": "APT 4C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104714012",
            "telephone_number": "917-912-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "RHIANNE",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.