Patricia Addo-Dombo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105255 Issued in NY

Practice address

3926 Ely Ave
Bronx, NY 10466-5011

Phone

(646) 506-5096

NPI assigned

Jul 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1295729408

  Clinical

  Medicare reassignment NPD
• The Institute for Family Health

  • Family Medicine Physician
  • Hyde Park, NY
  • NPI 1407129562

  Clinical

  NPD
• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1972877017

  Clinical

  NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1699328617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 ELY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665011",
            "telephone_number": "646-506-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 ELY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665011",
            "telephone_number": "646-506-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDO-DOMBO",
        "first_name": "PATRICIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "105255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Addai
• Paul John Addamo Jr., DDS
• Daniel Joseph Addanki, M.D.,
• Abigail K Addei, FNP-BC
• Rajasekhar V Addepalli, MD
• Jacqueline Addo-Quaye
• Mavis Addo
• Pearl Addu, RN
• Angela Addy, LPN
• Abigail Yewande Adebayo, MD

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.