Cynthia Rochelle Berry-Holloway – Social Worker

Key facts

NPI: 1689906232
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 016226 (NY)
Practice address: 20 Church St
Sancia Recovery Inc
White Plains, NY 10601
Phone: (914) 421-0400
Fax: (914) 421-0401
NPI assigned: Feb 8, 2010
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
114273	NY	MD	Addiction (Substance Use Disorder) Counselor
016226	NY	MD	Clinical Psychologist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	114273	NY
Social Worker	104100000X	016226	NY	Yes

Addresses

Primary practice location

20 Church St
Sancia Recovery Inc
White Plains, NY 10601

Mailing address

20 Church St
Sancia Recovery Inc
White Plains, NY 10601
Phone (914) 421-0400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2010.

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1689906232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHURCH ST",
            "address_2": "SANCIA RECOVERY INC",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-421-0400",
            "fax_number": "914-421-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHURCH ST",
            "address_2": "SANCIA RECOVERY INC",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-421-0400",
            "fax_number": "914-421-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY-HOLLOWAY",
        "first_name": "CYNTHIA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW-#016226-1 CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "114273",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "016226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

All providers in White Plains, NY · Social Worker in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.