Individual provider Active NPI

Cara Michelle Rachel London

  • Social Worker
  • Long Island City, NY
National Provider Identifier
1881210078
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
549 Borden Ave Apt 11F
Long Island City, NY 11101-5895
Phone
(203) 423-9074
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

549 Borden Ave Apt 11F
Long Island City, NY 11101-5895

Mailing address

549 Borden Ave Apt 11F
Long Island City, NY 11101-5895
Phone (203) 423-9074

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
I20251209002395 NY Practitioner - Clinical Social Worker 0648764589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SBH Community Service Network IncGroup PAC ID 4082713839, 17 clinicians

Practice addresses (Care Compare)

1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone (718) 787-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Community Service Network, Inc. CurrentSince Sep 19, 2025 Accepting new patients

Locations

425 Kings Hwy
Brooklyn, NY 11223

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1881210078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 BORDEN AVE APT 11F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015895",
            "telephone_number": "203-423-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 BORDEN AVE APT 11F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015895",
            "telephone_number": "203-423-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "CARA",
        "middle_name": "MICHELLE RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.