Individual provider Active NPI

Frances Aquino, MSW

  • Clinical Social Worker
  • Tomkins Cove, NY
National Provider Identifier
1801931456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R020373 Issued in NY
Practice address
412 North Liberty Drive
Tomkins Cove, NY 10986-1506
Phone
(845) 429-7144
Fax
(845) 639-0359
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R020373 NY Primary

Addresses

Primary practice location

412 North Liberty Drive
Tomkins Cove, NY 10986-1506

Mailing address

PO Box 406
412 North Liberty Drive
Tomkins Cove, NY 10986
Phone (845) 429-7144

Other identifiers 1

IdentifierTypeStateIssuer
02024606MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707001478 NY Practitioner - Clinical Social Worker 2466721493 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Bloomingdale Rd
Suite 5
Staten Island, NY 10309-2070
Phone (718) 948-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R020373NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pakier Psychological Services P.C. Past Accepting new patients

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801931456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "address_2": "412 NORTH LIBERTY DRIVE",
            "city": "TOMKINS COVE",
            "state": "NY",
            "postal_code": "10986",
            "telephone_number": "845-429-7144",
            "fax_number": "845-639-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NORTH LIBERTY DRIVE",
            "city": "TOMKINS COVE",
            "state": "NY",
            "postal_code": "109861506",
            "telephone_number": "845-429-7144",
            "fax_number": "845-639-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R020373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02024606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomkins Cove, NY

Sources for this page

Verify at the official NPI Registry.