Individual provider Active NPI

Zia Camille Ahearn, LCSW

  • Clinical Social Worker
  • Chappaqua, NY
National Provider Identifier
1720614183
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10981 Issued in CT
Practice address
480 N Bedford Rd
Chappaqua, NY 10514
Phone
(914) 534-6030
NPI assigned
Mar 18, 2020
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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 10981 CT Primary

Addresses

Primary practice location

480 N Bedford Rd
Chappaqua, NY 10514

Mailing address

302 Kemeys Cove
Briarcliff Manor, NY 10510
Phone (203) 947-0261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10981CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince Jul 23, 2021 Accepting new patients
Healing Through Connection, LLC Clinical CurrentSince Dec 12, 2021 Accepting new patients

Locations

2389 Main St
Ste 100
Glastonbury, CT 06033
Phone (203) 521-6560

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1720614183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KEMEYS COVE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "10510",
            "telephone_number": "203-947-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N BEDFORD RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "10514",
            "telephone_number": "914-534-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "ZIA",
        "middle_name": "CAMILLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

Verify at the official NPI Registry.