Individual provider Active NPI

Cathy Chandler, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1922248897
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R053736-1 Issued in NY
Practice address
17 Chittenden Ave
Apt 3C
New York, NY 10033-1103
Phone
(516) 732-0219
NPI assigned
Mar 4, 2009
Last updated
Mar 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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 R053736-1 NY Primary

Addresses

Primary practice location

17 Chittenden Ave
Apt 3C
New York, NY 10033-1103

Mailing address

17 Chittenden Ave
Apt 3C
New York, NY 10033-1103
Phone (516) 732-0219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140509001577 MA Practitioner - Clinical Social Worker 3476736901 Reassigns benefits to 1 organization

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
Group practices
Jewish Family Service of Western Massachusetts Inc.Group PAC ID 9830179050, 2 clinicians

Practice addresses (Care Compare)

15 Lenox St
Springfield, MA 01108-2666
Phone (413) 737-2601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R053736-1NYMDClinical Social Worker
053736NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Western Massachusetts Inc CurrentSince Dec 17, 2013 Accepting new patients
Jewish Family Service of Western Massachusetts PastSince Dec 17, 2013 Accepting new patients
MJHC Home Care, Inc. Past Accepting new patients
MJHS Hospice and Palliative Care Inc. Past Accepting new patients

Locations

15 Lenox St
Springfield, MA 01108
Phone (413) 737-2601

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1922248897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHITTENDEN AVE",
            "address_2": "APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331103",
            "telephone_number": "516-732-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CHITTENDEN AVE",
            "address_2": "APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331103",
            "telephone_number": "516-732-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "CATHY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053736-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.