Active NPI
Carol A Dandrea
- Social Worker
- Little Neck, NY
National Provider Identifier
1972673754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0419771
- Practice address
- 25504 58 Avenue
Little Neck, NY 11362-2149 - Phone
- (718) 224-2253
- Fax
- (718) 224-2253
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R0419771 | NY | Primary |
Addresses
Primary practice location
25504 58 Avenue
Little Neck, NY 11362-2149
Mailing address
25504 58 Avenue
Little Neck, NY 11362-2149
Phone (718) 224-2253
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222000674 | NY | Practitioner - Clinical Social Worker | 3971804600 | Practice locations: Little Neck, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
25504 58 Ave
Little Neck, NY 11362-2149
25504 58TH Ave
Little Neck, NY 11362-2149
Phone (718) 224-2253
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0419771 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972673754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25504 58 AVENUE",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622149",
"telephone_number": "718-224-2253",
"fax_number": "718-224-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25504 58 AVENUE",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113622149",
"telephone_number": "718-224-2253",
"fax_number": "718-224-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDREA",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0419771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Neck, NY
- Maureen Connolly, MSN, FNP
- Create Your Balance Mental Health Counseling
- Crossroads Therapy Collaborative PLLC
- Elisa Cueto, PERMANENT LICENCE
- Dana Pharmacy, Inc
- Daniel Davids Physical Therapy
- Danoff Dental & Associates, LLP
- Danoff Dental & Associates, LLP
- K Scott Danoff, DMD, D.ABDSM, D.ASBA
- Evenia Daskarolis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.