CAROLYN ANNE NUSSBAUM (NPI# 1013088509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013088509 |
| Entity Type | Individual |
| Full Name | CAROLYN ANNE NUSSBAUM |
| Credential | LCSW |
| Practice Address |
80th St & 41st Ave Elmhurst NY 11373-1329 |
| Mailing Address |
7901 Broadway Managed Care, D1-01 Elmhurst NY 11373-1329 |
| Practice Telephone | 7183343900 |
| Practice Fax Number | 7183345958 |
| Mailing Telephone | 7183341921 |
| Mailing Fax Number | 7183343432 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | R50896 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| Street Address |
80TH ST & 41ST AVE |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841395597 | Nima Akhavan | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2006-09-14 |
| 1124203898 | Aaron Michael Lipskar | Hospitalist | 80th St & 41st Ave, Elmhurst, NY 11373-1132 | 2007-12-31 |
| 1861677536 | Karisma Sita Ajodah | Social Worker | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-12-31 |
| 1669657334 | Simon D Marshall | Counselor | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-12-31 |
| 1366637886 | Monica Jean Bilboul | Clinical Neuropsychologist | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-09-07 |
| 1811103898 | Larissa Polanco | Pediatrics | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-05-15 |
| 1336355403 | Samuel Sebastianne Sostre | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373-1329 | 2007-05-15 |
| 1578685335 | Ann Marie Theresa Sullivan | Psychiatry & Neurology | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-04 |
| 1003937277 | Carlota Gabriel Antonio | Nurse Practitioner | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-03 |
| 1598887523 | Bonnie Pepper | Psychologist | 80th St & 41st Ave, Elmhurst, NY 11373 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951459 | Stephen Buhr | Social Worker | 125 E 1st St, Elmhurst, IL 60126-2818 | 2020-01-14 |
| 1114489010 | Annmaree Wolff | Social Worker | 586 S Stratford Ave, Elmhurst, IL 60126-4151 | 2019-04-01 |
| 1578035416 | Daisy Bonilla | Social Worker | 9438 42nd Ave, Elmhurst, NY 11373-2850 | 2018-12-17 |
| 1861962748 | Gina Marie Patane | Social Worker | 7807 41st Ave, Elmhurst, NY 11373-1147 | 2018-12-04 |
| 1841781796 | Perla Lia Wassel | Social Worker | 4045 75th St Fl 3, Elmhurst, NY 11373-1011 | 2018-05-27 |
| 1558865006 | Josephine Santiago | Social Worker | 4216 80th St Apt 5j, Elmhurst, NY 11373-3010 | 2018-03-20 |
| 1942747852 | Marina Falconi | Social Worker | 8829 51st Ave, Apt. 3d, Elmhurst, NY 11373-3981 | 2017-01-30 |
| 1134585649 | James Rodriguez | Social Worker | 5625 92nd St, Elmhurst, NY 11373-4939 | 2016-01-13 |
| 1558745406 | Mindful Connections Behavioral Health PC | Social Worker | 116 S York St Ste 201, Elmhurst, IL 60126-3432 | 2015-07-09 |
| 1538576996 | Elyse Marie Perez | Social Worker | 5432 83rd St, Elmhurst, NY 11373-4724 | 2014-07-17 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.