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MIRIAM CUSICANQUI LCSW NPI 1326454943


NPI Information

NPI: 1326454943
Provider Name: MIRIAM CUSICANQUI, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
9004 161ST ST
5TH FLOOR
JAMAICA, NY
ZIP 11432
Phone: (718) 523-2123
Get Directions

Miriam Cusicanqui, LCSW is a clinical social worker in Jamaica, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Miriam Cusicanqui, LCSW NPI is 1326454943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9004 161ST ST
5TH FLOOR
JAMAICA, NY
ZIP 11432-141
Phone: (718) 523-2123
Fax: (718) 523-5833

The NPI 1326454943 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/2/2014 and was last updated on 7/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical080242-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1331978MEDICARE OSCAR/CERTIFICATIONWISCONSIN
200695941MEDICAIDNEW YORK
3331058MEDICARE OSCAR/CERTIFICATIONWISCONSIN
4331947MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5331009MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6331043MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7W6L111MEDICARE OSCAR/CERTIFICATIONNEW YORK
8G100000410MEDICARE OSCAR/CERTIFICATIONNEW YORK
9331945MEDICARE OSCAR/CERTIFICATIONWISCONSIN
10331954MEDICARE OSCAR/CERTIFICATIONWISCONSIN
11331944MEDICARE OSCAR/CERTIFICATIONWISCONSIN
12331943MEDICARE OSCAR/CERTIFICATIONWISCONSIN
13331946MEDICARE OSCAR/CERTIFICATIONWISCONSIN
14331952MEDICARE OSCAR/CERTIFICATIONWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.