Individual provider Active NPI

Catherine Stanford Nolan

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1790379063
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108340-01 Issued in NY
Practice address
631 E 18TH St Apt 4C
Brooklyn, NY 11226-7677
Phone
(917) 974-6613
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108340-01 NY Primary

Addresses

Primary practice location

631 E 18TH St Apt 4C
Brooklyn, NY 11226-7677

Mailing address

631 E 18TH St Apt 4C
Brooklyn, NY 11226-7677
Phone (917) 974-6613

Other practice location 1

7701 13th Ave
Brooklyn, NY 11228-2413
Phone (718) 232-1351

Other names 1

  • Catherine Theresa Stanford Former 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
108340-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Neighborhood Counseling Center Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

7701 13th Ave
Brooklyn, NY 11228
Phone (718) 232-1351

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1790379063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E 18TH ST APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267677",
            "telephone_number": "917-974-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E 18TH ST APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267677",
            "telephone_number": "917-974-6613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112282413",
            "country_code": "US",
            "telephone_number": "718-232-1351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "CATHERINE",
        "middle_name": "STANFORD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108340-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "STANFORD",
            "middle_name": "THERESA",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.