Active NPI
Annrose Simon, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1992087449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR018657-1
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PR018657-1 | NY | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; 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.