NPIMap

Organization Active NPI

Cuda Counseling LCSW PLLC

  • Clinical Social Worker
  • Little Falls, NY
National Provider Identifier
1689123499
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CUDA COUNSELING LCSW PLLC
Practice address
31 N Ann St
Little Falls, NY 13365-1372
Phone
(315) 823-0022
NPI assigned
Sep 22, 2016
Last updated
Nov 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Andre Cuda, LCSW-RNPI 1619284510
Title
Owner
Phone
(315) 985-5950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

31 N Ann St
Little Falls, NY 13365-1372

Mailing address

31 N Ann St
Little Falls, NY 13365-1378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161229001755 NY Part B Supplier - Clinic/Group Practice 8628359890 Receives reassigned benefits from 4 practitioners
Practice locations: Herkimer, NY; Rome, NY
O20220622002741 FL Part B Supplier - Clinic/Group Practice 8628359890 Receives reassigned benefits from 1 practitioner
Practice locations: South Pasadena, FL

National Provider Directory

National Provider Directory

Locations

6800 Gulfport Blvd S
Ste 201413
South Pasadena, FL 33707
Phone (727) 496-2213

336 E State St
#A
Herkimer, NY 13350
Phone (315) 866-0100

435 N Prospect St
Herkimer, NY 13350
Phone (315) 866-0100

143 W Dominick St
Rome, NY 13440
Phone (315) 677-4163

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1689123499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N ANN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 N ANN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651372",
            "telephone_number": "315-823-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUDA COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "CUDA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-985-5950",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.