Pauline M Ahrens, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

050914 Issued in NY

Practice address

1082 Victory Blvd
Staten Island, NY 10301-3622

Phone

(917) 543-1011

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Pauline M Fasanella-Ahrens Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Canino LCSW Psychotherapy PC

  • Health Maintenance Organization
  • Brooklyn, NY
  • NPI 1225220072
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1962932673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HEREFORD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081632",
            "telephone_number": "718-984-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013622",
            "telephone_number": "917-543-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRENS",
        "first_name": "PAULINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "050914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "FASANELLA-AHRENS",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yoseph Yasser Ahmed, DPT
• Zubair Ahmed
• Jessica Ahn, M.A., CCC - SLP
• Youhern Ahn, M.D.
• Ahrc
• Kanwardeep Singh Aiden, MD
• Barbara Ann Aiello-Fallon, M.S.E.D. C.R.C.
• Susanne Marie Aiello, R.N.
• Victoria Aiello, LMHC
• Michelle Aimone, PHYSICIAN ASSISTANT

• Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.