Individual provider Active NPI

Annrose Simon, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1992087449
Registry record updated Sep 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR018657-1 Issued in NY
Practice address
103 E 86TH St
Suite 5B
New York, NY 10028-1058
Phone
(212) 426-8012
Fax
(914) 478-1360
NPI assigned
Sep 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2011

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 PR018657-1 NY Primary

Addresses

Primary practice location

103 E 86TH St
Suite 5B
New York, NY 10028-1058

Mailing address

2 Brambach Ave
Suite 2 East
Scarsdale, NY 10583-5236
Phone (914) 723-0197

Other names 1

  • Mrs. Annrose Smith Former name

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
I20140219001667 NY Practitioner - Clinical Social Worker 5890925788 Practice locations: Hartsdale, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 E 88TH St
Suite 1C
New York, NY 10128-0518
Phone (212) 426-8012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR018657-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315699200000",
    "number": "1992087449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRAMBACH AVE",
            "address_2": "SUITE 2 EAST",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835236",
            "telephone_number": "914-723-0197",
            "fax_number": "914-478-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 86TH ST",
            "address_2": "SUITE 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281058",
            "telephone_number": "212-426-8012",
            "fax_number": "914-478-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ANNROSE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-11",
        "last_updated": "2011-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR018657-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNROSE",
            "last_name": "SMITH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.