Individual provider Active NPI

Eve McCormick Millard, L.C.S.W.

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1770802498
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P046147-1 Issued in NY
Practice address
3600 Jerome Ave
Bronx, NY 10467-1052
Phone
(718) 881-7600
Fax
(718) 519-0851
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2010

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 P046147-1 NY Primary

Addresses

Primary practice location

3600 Jerome Ave
Bronx, NY 10467-1052

Mailing address

24 Piermont St
Tappan, NY 10983-2207
Phone (845) 398-8828

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
P046147-1NYMDClinical Social Worker
046147NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1770802498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PIERMONT ST",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109832207",
            "telephone_number": "845-398-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671052",
            "telephone_number": "718-881-7600",
            "fax_number": "718-519-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK MILLARD",
        "first_name": "EVE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P046147-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 20, 2010; 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.