Individual provider Active NPI

Antoinette Cavalenes Joyce, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1811053770
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R036109 Issued in NY
Practice address
290 Garretson Ave
Staten Island, NY 10305-1236
Phone
(718) 698-3222
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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 R036109 NY Primary

Addresses

Primary practice location

290 Garretson Ave
Staten Island, NY 10305-1236

Mailing address

290 Garretson Ave
Staten Island, NY 10305-1236
Phone (718) 698-3222

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
I20120824000784 NY Practitioner - Clinical Social Worker 5698922748 Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R036109NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Antoinette Cavalenes Joyce Current 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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1811053770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 GARRETSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051236",
            "telephone_number": "718-698-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 GARRETSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051236",
            "telephone_number": "718-698-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALENES JOYCE",
        "first_name": "ANTOINETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.