Individual provider Active NPI

Christopher Ryan McCarthy, LCSW

  • Clinical Social Worker
  • Dumont, NJ
National Provider Identifier
1821467028
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089365 Issued in NY
Practice address
546 Washington Ave Unit 3208
Dumont, NJ 07628-1249
Phone
(917) 371-6575
NPI assigned
Sep 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 089365 NY Primary

Addresses

Primary practice location

546 Washington Ave Unit 3208
Dumont, NJ 07628-1249

Mailing address

327 W 35TH St Apt 4R
New York, NY 10001-1723
Phone (917) 371-6575

Other practice location 1

329 E 149th St
Bronx, NY 10451-5625
Phone (718) 769-2698

Other practice location 2

441 W 26th St
New York, NY 10001-5629
Phone (212) 760-9800

Other practice location 3

327 W 35th St Apt 4R
New York, NY 10001-1723
Phone (917) 371-6575

Other practice location 4

115 W 31st St Fl 5
New York, NY 10001-3596
Phone (212) 564-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200317002293 NY Practitioner - Clinical Social Worker 2163850512 Reassigns benefits to 2 organizations
I20201202002496 NJ Practitioner - Clinical Social Worker 2163850512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Behavioral MD PAGroup PAC ID 8426294216, 31 clinicians

Practice addresses (Care Compare)

300 Forest Ave
A
Paramus, NJ 07652-5429
Phone (201) 490-5158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089365NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Behavioral MD PA CurrentSince Nov 1, 2020 Accepting new patients
Hudson Guild CurrentSince Feb 13, 2020 Accepting new patients
Well-America Corp CurrentSince Jan 19, 2022 Accepting new patients
Centra Medical Group, LLC PastSince Nov 1, 2020 Accepting new patients

Locations

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

441 W 26th St
New York, NY 10001
Phone (212) 760-9800

Organizations & group practices 4

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1821467028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W 35TH ST APT 4R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011723",
            "telephone_number": "917-371-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WASHINGTON AVE UNIT 3208",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281249",
            "telephone_number": "917-371-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515625",
            "country_code": "US",
            "telephone_number": "718-769-2698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 W 26th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015629",
            "country_code": "US",
            "telephone_number": "212-760-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 W 35th St Apt 4R",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100011723",
            "country_code": "US",
            "telephone_number": "917-371-6575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W 31st St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013596",
            "country_code": "US",
            "telephone_number": "212-564-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

Verify at the official NPI Registry.