Individual provider Active NPI

Carolyn Hanesworth, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1912460643
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27647 Issued in TX
Practice address
3935 Blackstone Ave Apt 11K
Bronx, NY 10471-3723
Phone
(512) 395-7727
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 27647 TX Primary

Addresses

Primary practice location

3935 Blackstone Ave Apt 11K
Bronx, NY 10471-3723

Mailing address

3935 Blackstone Ave Apt 11K
Bronx, NY 10471-3723
Phone (512) 395-7727

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27647TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Right Where You Are LLC Clinical PastSince Apr 19, 2020 Accepting new patients

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1912460643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 BLACKSTONE AVE APT 11K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713723",
            "telephone_number": "512-395-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 BLACKSTONE AVE APT 11K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713723",
            "telephone_number": "512-395-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANESWORTH",
        "first_name": "CAROLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.