Individual provider Active NPI

Phyllis Kim Cabibbo, LMSW

  • School Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1770865222
Registry record updated Sep 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
059720-1 Issued in NY
Practice address
5 Boces Rd
Poughkeepsie, NY 12601-6565
Phone
(845) 463-2738
NPI assigned
Sep 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 059720-1 NY Primary

Addresses

Primary practice location

5 Boces Rd
Poughkeepsie, NY 12601-6565

Mailing address

19 Cunningham LN
Poughquag, NY 12570-5601
Phone (914) 805-3167

Other names 1

  • Ms. Phyllis Kim Del Duca-Cabibbo Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
059720-1NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315699200000",
    "number": "1770865222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CUNNINGHAM LN",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705601",
            "telephone_number": "914-805-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BOCES RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016565",
            "telephone_number": "845-463-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABIBBO",
        "first_name": "PHYLLIS",
        "middle_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-11",
        "last_updated": "2011-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "059720-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "DEL DUCA-CABIBBO",
            "middle_name": "KIM",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; 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.