Active NPI
Catherine Nicholas, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1821240417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R030412
- Practice address
- 10 E End Ave
16-A
New York, NY 10075-1106 - Phone
- (212) 744-8141
- NPI assigned
- Oct 15, 2008
- 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 | R030412 | NY | Primary |
Addresses
Primary practice location
10 E End Ave
16-A
New York, NY 10075-1106
Mailing address
10 E End Ave
16-A
New York, NY 10075-1106
Phone (212) 744-8141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 15, 2017 through Feb 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R030412 | NY | MD | Clinical Social Worker |
| 030412 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1821240417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E END AVE",
"address_2": "16-A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751106",
"telephone_number": "212-744-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E END AVE",
"address_2": "16-A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751106",
"telephone_number": "212-744-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R030412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.