Active NPI
Erick Fernando Echeverria, LCSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1821781592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084545
- Practice address
- 3424 Kossuth Ave # 1B101
Bronx, NY 10467-2489 - Phone
- (718) 519-3030
- Fax
- (718) 519-5036
- NPI assigned
- May 30, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 084545 | NY | Primary |
Addresses
Primary practice location
3424 Kossuth Ave # 1B101
Bronx, NY 10467-2489
Mailing address
2412 Church Ave
Brooklyn, NY 11226-4005
Phone (855) 681-8700
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084545 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
2412 Church Ave
Brooklyn, NY 11226
Phone (347) 404-5950
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1821781592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112264005",
"telephone_number": "855-681-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 KOSSUTH AVE # 1B101",
"city": "BRONX",
"state": "NY",
"postal_code": "104672489",
"telephone_number": "718-519-3030",
"fax_number": "718-519-5036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVERRIA",
"first_name": "ERICK",
"middle_name": "FERNANDO",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Jessica Echevarria
- Miriam Echevarria, LMSW
- Cristian David Echeverri, MD
- Daniel Echeverria Cazar, MD
- Roberto Alexander Echeverria Ramirez, MD
- Chinazo E. Echezona-Johnson, DNP, ED.D,MSN,RNC-MN
- Benjamin Ford Ecklund
- Shela Eclarinal, RN
- Eco Medical & Wellness MGMT. SVCS Inc
- Eco Medical and Sleep Management Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.