Individual provider Active NPI

Cecilia Land, LCSW

  • Clinical Social Worker
  • Cocoa, FL
National Provider Identifier
1861664294
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73077622 Issued in NY
Practice address
640 Brevard Ave Ste 106
Cocoa, FL 32922-7849
Phone
(347) 866-0423
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 076373 NY
Clinical Social Worker 1041C0700X 73077622 NY Primary

Addresses

Primary practice location

640 Brevard Ave Ste 106
Cocoa, FL 32922-7849

Mailing address

15 Renee CT
Rockledge, FL 32955-3748
Phone (347) 866-0423

Other names 1

  • Ms. Cecilia Land Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20110426000016 NY Practitioner - Clinical Social Worker 5698950285 Reassigns benefits to 1 organization
Practice locations: New York, NY
I20211213000503 FL Practitioner - Clinical Social Worker 5698950285 Practice locations: Cocoa, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

640 Brevard Ave
Suite 106
Cocoa, FL 32922-7849
Phone (347) 866-0423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73077622NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cecilia Land LCSW-R Clinical CurrentSince Sep 3, 2021 Accepting new patients
Greenwich House Inc CurrentSince May 26, 2016 Accepting new patients

Locations

640 Brevard Ave
Ste 106
Cocoa, FL 32922
Phone (347) 866-0423

122 W 27th St
Fl 6
New York, NY 10001
Phone (212) 691-2900

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1861664294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RENEE CT",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553748",
            "telephone_number": "347-866-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BREVARD AVE STE 106",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227849",
            "telephone_number": "347-866-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "076373",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73077622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "LAND",
            "prefix": "MS.",
            "credential": "LCAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.