Individual provider Active NPI

Catherine Cordell Montifiore, LCSW, CASAC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1659773356
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082254-1 Issued in NY
Practice address
17 6TH Ave
2A
New York, NY 10013-5717
Phone
(917) 922-1007
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26651 NY
Clinical Social Worker 1041C0700X 082254-1 NY Primary

Addresses

Primary practice location

17 6TH Ave
2A
New York, NY 10013-5717

Mailing address

261 Broadway
Apt 12B
New York, NY 10007-2305
Phone (917) 922-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 26, 2023 through Feb 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26651NYMDAddiction (Substance Use Disorder) Counselor
082254-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1659773356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 BROADWAY",
            "address_2": "APT 12B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072305",
            "telephone_number": "917-922-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 6TH AVE",
            "address_2": "2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135717",
            "telephone_number": "917-922-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIFIORE",
        "first_name": "CATHERINE",
        "middle_name": "CORDELL",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "26651",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082254-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.