Individual provider Active NPI

Nicole Ciervo, LMSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1992263404
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099641-01 Issued in NY
Practice address
1524 Hollywood Ave
Bronx, NY 10461-6062
Phone
(914) 410-7830
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 099641-01 NY Primary
Social Worker 104100000X 10701 CT
Social Worker 104100000X 106073 NY

Addresses

Primary practice location

1524 Hollywood Ave
Bronx, NY 10461-6062

Mailing address

10 Beech LN
Redding, CT 06896-2514
Phone (914) 410-7830

Other practice location 1

10 Beech Ln
Redding, CT 06896-2514
Phone (914) 410-7830

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
I20250611002300 NY Practitioner - Clinical Social Worker 8729598420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Social Work Services LLCGroup PAC ID 4880609528, 74 clinicians

Practice addresses (Care Compare)

1110 S Ave
Suite 404
Staten Island, NY 10314-3411
Phone (800) 277-4680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10701CTMDSocial Worker
099641-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All Life Therapy Inc CurrentSince Mar 28, 2021 Accepting new patients
Integrity Social Work Services LLC Clinical CurrentSince Apr 3, 2025 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 494-2858

2381 Hylan Blvd
Ste 13
Staten Island, NY 10306
Phone (718) 494-2858

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1992263404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BEECH LN",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "068962514",
            "telephone_number": "914-410-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 HOLLYWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616062",
            "telephone_number": "914-410-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Beech Ln",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CT",
            "postal_code": "068962514",
            "country_code": "US",
            "telephone_number": "914-410-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIERVO",
        "first_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099641-01",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "10701",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "106073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.