Individual provider Active NPI

Nicole M Case, LCSW-R

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1912060369
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070951-1 Issued in NY
Practice address
3199 Bainbridge Ave FL 3
Bronx, NY 10467
Phone
(917) 287-1435
Fax
(718) 303-4313
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070951-1 NY Primary

Addresses

Primary practice location

3199 Bainbridge Ave FL 3
Bronx, NY 10467

Mailing address

8 Jessup LN
Stony Point, NY 10980-3502
Phone (917) 287-1435

Other practice location 1

260 E 188th St
4th floor, Rm 434
Bronx, NY 10458-5302
Phone (718) 960-0420 ext. 0433

Other names 1

  • Nicole Monique Case-Reid Other name

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
I20160908002242 NY Practitioner - Clinical Social Worker 3678869120 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3199 Bainbridge Ave
FL 3
Bronx, NY 10467-3907
Phone (917) 287-1435

8 Jessup Lane
Stony Point, NY 10980-3502

8 Jessup LN
Stony Point, NY 10980-3502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070951-1NYMDClinical Social Worker
070951NYMDPharmacist

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1912060369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JESSUP LN",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109803502",
            "telephone_number": "917-287-1435",
            "fax_number": "718-303-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 BAINBRIDGE AVE FL 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "917-287-1435",
            "fax_number": "718-303-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 E 188th St",
            "address_2": "4th floor, Rm 434",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585302",
            "country_code": "US",
            "telephone_number": "718-960-0420 x0433",
            "fax_number": "718-933-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASE",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070951-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CASE-REID",
            "middle_name": "MONIQUE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.