MR. LUIS EDGARDO FONTANEZ (NPI# 1396881934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396881934 |
| Entity Type | Individual |
| Full Name | MR. LUIS EDGARDO FONTANEZ |
| Other Name | MR. LUIS EDGARDO FONTANEZ |
| Practice Address |
3424 Kossuth Avenue North Central Bronx Hospital Bronx NY 10467 |
| Mailing Address |
2440 Boston Rd Apt 4b Bronx NY 10467-9042 |
| Practice Telephone | 7185193345 |
| Practice Fax Number | 7185194892 |
| Mailing Telephone | 6466672482 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
042654 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PROFESSIONAL LICENSE # | 042654 | 01 |
| Street Address |
3424 KOSSUTH AVENUE NORTH CENTRAL BRONX HOSPITAL |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861554495 | Calvin Hwang | Internal Medicine | 3424 Kossuth Avenue, Dept. of Medicine, 9c-01, Bronx, NY 10467 | 2006-12-13 |
| 1952915043 | Nicole Elizabeth Da Silva | Psychologist | 3424 Kossuth Avenue, Behavioral Health Outpatient Clinic, 4b, Bronx, NY 10467 | 2020-09-04 |
| 1336639517 | Shamai Kurbitaeva | Student in an Organized Health Care Education/Training Program | 3424 Kossuth Avenue, 9c-01, Bronx, NY 10467 | 2018-05-14 |
| 1326389016 | North Central Bronx Hospital | Clinic/Center | 3424 Kossuth Avenue, Room 3a Medicine, Bronx, NY 10467 | 2013-03-06 |
| 1720367485 | Man Nga Carmen Chow | Pharmacist | 3424 Kossuth Avenue, Bronx, NY 10467-3138 | 2011-08-12 |
| 1568740199 | Desiree Bloom Lindsay | Nurse Practitioner | 3424 Kossuth Avenue, Bronx, NY 10467 | 2011-08-01 |
| 1285937433 | Lorraine Adler | Social Worker | 3424 Kossuth Avenue, 14a04, Bronx, NY 10464 | 2010-12-09 |
| 1174824684 | Elizabeth Rose Krische | Physician Assistant | 3424 Kossuth Avenue, Bronx, NY 10467 | 2010-11-15 |
| 1124345913 | Susan Lee Mayer | Registered Nurse | 3424 Kossuth Avenue, North Central Bronx Hospital, Bronx, NY 10467 | 2010-05-03 |
| 1760713929 | Jordan James Vallese | Physician Assistant | 3424 Kossuth Avenue, Room 9c - 01, Bronx, NY 10467 | 2010-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
| 1114527447 | Pearl Sharp Hacker | Social Worker | 90 Schofield Street, Bronx, NY 10464-1532 | 2020-10-27 |
| 1780283499 | Sean Power | Social Worker | 4320 Van Cortlandt Park E Apt 3k, Bronx, NY 10470-1931 | 2020-10-22 |
| 1023616455 | Eclectic Interventions, LLC | Social Worker | 880 Colgate Ave Apt 2l, Bronx, NY 10473-4807 | 2020-10-16 |
| 1467064808 | Suleyma Huerta Nava | Social Worker | 789 E 166th St Apt Wb, Bronx, NY 10456-5657 | 2020-08-18 |
| 1760092993 | Nancy Key | Social Worker | 600 Harding Park, Bronx, NY 10473-2341 | 2020-08-03 |
| 1780293399 | Eva Schonfeld Reichel | Social Worker | 3240 Henry Hudson Pkwy Apt 3h, Bronx, NY 10463-3220 | 2020-07-29 |
| 1013534114 | Alice S Liu | Social Worker | 2403 Cambreleng Ave Apt A, Bronx, NY 10458-6275 | 2020-07-06 |
| 1831714104 | Robert Patrick Benjamin | Social Worker | 250 Walton Ave Ste 2n, Bronx, NY 10451-5416 | 2020-06-12 |
| 1053946707 | Melisssa Berges | Social Worker | 2338 University Ave Apt 3s, Bronx, NY 10468-8200 | 2020-03-03 |
| 1639703978 | Arianny Marian Garcia | Social Worker | 1438 Waring Ave, Bronx, NY 10469-5734 | 2020-02-25 |
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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.