Catherine Carballeira, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073124-1 Issued in NY

Practice address

112 Franklin PL
Woodmere, NY 11598-1217

Phone

(516) 374-3671

Fax

(516) 374-7864

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Catherine Carballeira Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tempo Youth Services, Inc.

  • Social Worker
  • Woodmere, NY
  • NPI 1114628310
  NPD
• Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Poughkeepsie, NY
  • NPI 1316939457

  Clinical

  NPD (past)
• Putnam Family and Community Services Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)
• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Brockton, MA
  • NPI 1992521512
  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891947271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981217",
            "telephone_number": "516-374-3671",
            "fax_number": "516-374-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981217",
            "telephone_number": "516-374-3671",
            "fax_number": "516-374-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLEIRA",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "16785",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073124-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "CARBALLEIRA",
            "credential": "RCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charity Brown
• Sallyan Bruno, B.A.
• Ilana Buchsbayew
• Dylanne Calvin
• Jonathan Cappotelli
• Caring Physical Therapy Services, PLLC
• Leslie Catapano, MS, OTR/L
• Catherina Yang Greenberg, MD PLLC
• Central Dermatology PC
• Aviva Charlap, CCC

• Clinical Social Worker in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.