MEDICARE: THE CHILDREN'S AID SOCIETY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency
2	251V00000X	Voluntary or Charitable Agency	105748	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467513564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CHILDREN'S AID SOCIETY

Provider Business Mailing Address
First Line	:	117 W 124TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-4920
Country	:	US
Telephone Number	:	212-949-4686
Fax Number	:	212-682-8016

Provider Business Practice Location Address
First Line	:	175 REMSEN ST FL 7
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4333
Country	:	US
Telephone Number	:	718-625-8300
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT, CHILD WELFARE & FAM
Name	:	MS. GEORGIA BOOTH
Credential	:
Telephone Number	:	212-949-4686

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	02/11/2022

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Directions to “THE CHILDREN'S AID SOCIETY ” Practice Location

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