Active NPI
Celmira Cintron-Jimenez, LCSW-R
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1730244278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077358-01
- Practice address
- 936 Havemeyer Ave FL 1
Bronx, NY 10473-1140 - Phone
- (917) 600-4488
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 077358-1 | NY | |
| School Social Worker | 1041S0200X | 073796 | NY | |
| Clinical Social Worker | 1041C0700X | 077358-01 | NY | Primary |
Addresses
Primary practice location
936 Havemeyer Ave FL 1
Bronx, NY 10473-1140
Mailing address
171 NE 100TH St
Miami Shores, FL 33138-2316
Phone (917) 734-2578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077358-01 | NY | MD | Clinical Social Worker |
| 077358-1 | NY | MD | Clinical Social Worker |
| 073796 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inclusion Online Therapy | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Myriam Ayala Online Therapy
- Clinical Social Worker
- Miami, FL
- NPI 1336743145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1730244278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 NE 100TH ST",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382316",
"telephone_number": "917-734-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 HAVEMEYER AVE FL 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104731140",
"telephone_number": "917-600-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CINTRON-JIMENEZ",
"first_name": "CELMIRA",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077358-1",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "073796",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077358-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"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 Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.