Individual provider Active NPI

Carolina Hausmann-Stabile, LMSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1689993636
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081241-1 Issued in NY
Practice address
522 Courtlandt Ave
Bronx, NY 10451-5008
Phone
(718) 585-2153
Fax
(718) 585-2157
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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 081241-1 NY Primary

Addresses

Primary practice location

522 Courtlandt Ave
Bronx, NY 10451-5008

Mailing address

2215 43Rd Ave
Long Island City, NY 11101-5018
Phone (718) 389-5100

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
081241-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1689993636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 43RD AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015018",
            "telephone_number": "718-389-5100",
            "fax_number": "718-752-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 COURTLANDT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515008",
            "telephone_number": "718-585-2153",
            "fax_number": "718-585-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMANN-STABILE",
        "first_name": "CAROLINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081241-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.