Active NPI
Eve McCormick Millard, L.C.S.W.
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1770802498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P046147-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P046147-1 | NY | MD | Clinical Social Worker |
| 046147 | NY | MD | Dentist |
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.