Individual provider Active NPI

Cara B Hanover, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1689116774
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085013 Issued in NY
Practice address
242 E 72ND St # 1a
New York, NY 10021
Phone
(201) 350-7296
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090936 NY
Clinical Social Worker 1041C0700X 085013 NY Primary

Addresses

Primary practice location

242 E 72ND St # 1a
New York, NY 10021

Mailing address

242 E 72ND St Ste 1a
New York, NY 10021-4574
Phone (201) 350-7296

Other practice location 1

1651 3rd Ave
Suite 205
New York, NY 10128-3679
Phone (201) 350-7296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 20, 2021 through Jan 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
090936NYMDSocial Worker
085013NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cara B Hanover LCSW PLLC Clinical CurrentSince Apr 19, 2020 Accepting new patients

Locations

1651 3rd Ave
Rm 205
New York, NY 10128
Phone (646) 306-6421

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1689116774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E 72ND ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214574",
            "telephone_number": "201-350-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E 72ND ST # 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "201-350-7296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 3rd Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101283679",
            "country_code": "US",
            "telephone_number": "201-350-7296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANOVER",
        "first_name": "CARA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090936",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.