Individual provider Active NPI

Angelica Grace Falcinelli, LCSW, LCAT, BC-DMT

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1932746948
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097380 Issued in NY
Practice address
1051 Riverside Dr
New York, NY 10032-1007
Phone
(646) 774-8573
Fax
(646) 774-8572
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111308 NY
Dance Therapist 225600000X 002214 NY
Clinical Social Worker 1041C0700X 097380 NY Primary

Addresses

Primary practice location

1051 Riverside Dr
New York, NY 10032-1007

Mailing address

600 W 169TH St Apt 66
New York, NY 10032-2910
Phone (718) 301-4510

Other practice location 1

41 Union Sq W Ste 707
New York, NY 10003-3230
Phone (718) 301-4510

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
I20260604002263 NY Order and Referring Only - Clinical Social Worker 0143750398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111308NYMDSocial Worker
097380NYMDClinical Social Worker
002214NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health CurrentSince Nov 8, 2024 Accepting new patients
Nys Office of Mental Health CurrentSince Nov 8, 2024 Accepting new patients
Nys Office of Mental Health Current Accepting new patients

Locations

1051 Riverside Dr
New York, NY 10032
Phone (212) 543-5000

Organizations & group practices 3

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1932746948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 169TH ST APT 66",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322910",
            "telephone_number": "718-301-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 RIVERSIDE DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321007",
            "telephone_number": "646-774-8573",
            "fax_number": "646-774-8572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Union Sq W Ste 707",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033230",
            "country_code": "US",
            "telephone_number": "718-301-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCINELLI",
        "first_name": "ANGELICA",
        "middle_name": "GRACE",
        "credential": "LCSW, LCAT, BC-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111308",
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "002214",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.