Individual provider Active NPI

Cindy Witkow, LCSW

  • Clinical Social Worker
  • Port Washington, NY
National Provider Identifier
1740891050
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097255 Issued in NY
Practice address
2-8 Haven Avenue
Suite 207
Port Washington, NY 11050
Phone
(929) 269-5790
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 059061 NY
School Social Worker 1041S0200X 432502 NY
Clinical Social Worker 1041C0700X 097255 NY Primary

Addresses

Primary practice location

2-8 Haven Avenue
Suite 207
Port Washington, NY 11050

Mailing address

95 Oakland Ave
Port Washington, NY 11050-1841
Phone (917) 847-6235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Opted out of Medicare
Yes, effective Jun 22, 2026 through Jun 22, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022002077 NY Practitioner - Clinical Social Worker 1557893096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
059061NYMDSocial Worker
432502NYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1740891050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 OAKLAND AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501841",
            "telephone_number": "917-847-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-8 HAVEN AVENUE",
            "address_2": "SUITE 207",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "929-269-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOW",
        "first_name": "CINDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "059061",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "432502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

Verify at the official NPI Registry.