Active NPI
Patricia Cadavid, LMSW
- Clinical Social Worker
- Elmhurst, NY
National Provider Identifier
1891867719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081447
- Practice address
- 9131 Queens Blvd
Suite 618
Elmhurst, NY 11373-5501 - Phone
- (718) 275-0983
- Fax
- (718) 275-7973
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 074388 | NY | |
| Clinical Social Worker | 1041C0700X | 081447 | NY | Primary |
Addresses
Primary practice location
9131 Queens Blvd
Suite 618
Elmhurst, NY 11373-5501
Mailing address
9131 Queens Blvd
Suite 618
Elmhurst, NY 11373-5501
Phone (718) 275-0983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136167177 | Other | NY | FIDELIS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074388 | NY | MD | Social Worker |
| 081447 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1891867719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9131 QUEENS BLVD",
"address_2": "SUITE 618",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735501",
"telephone_number": "718-275-0983",
"fax_number": "718-275-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9131 QUEENS BLVD",
"address_2": "SUITE 618",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735501",
"telephone_number": "718-275-0983",
"fax_number": "718-275-7973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADAVID",
"first_name": "PATRICIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "074388",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS NUMBER",
"identifier": "136167177",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.