Individual provider Active NPI

Celmira Cintron-Jimenez, LCSW-R

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1730244278
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077358-01 Issued in NY
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

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00695941MedicaidNY

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

LicenseStateTypeSpecialty
077358-01NYMDClinical Social Worker
077358-1NYMDClinical Social Worker
073796NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusion Online Therapy Clinical CurrentSince Apr 9, 2023 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.

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.

Verify at the official NPI Registry.